心脏手术后诱发不必要血小板输注的假性血小板减少症。
Pseudothrombocytopenia Inducing Nonindicated Platelet Transfusion after Cardiac Surgery.
作者信息
Ceran Enise, Schlömmer Christine, Kröckel Ivonne, Scheriau Georg, Angleitner Philipp, Steinlechner Barbara
机构信息
Department of Surgery, Division of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
Department of Anesthesia, Critical Care and Pain Medicine, Division of Cardiothoracic and Vascular Anesthesia and Intensive Care Medicine, Medical University of Vienna, Vienna, Austria.
出版信息
Case Rep Med. 2021 Mar 5;2021:3695407. doi: 10.1155/2021/3695407. eCollection 2021.
Pseudothrombocytopenia (PTCP) is an in vitro phenomenon of low platelet count caused by the agglutination of platelets, leading to false low platelet counts in automated cell counting. Typically, ethylenediaminetetraacetic acid (EDTA) mediates this platelet clumping. PTCP has little clinical significance, but misdiagnosis may lead to unnecessary diagnostic tests and treatment. In this case report, we present a 65-year-old Caucasian female suffering from multiple complications during and after cardiac surgery. During her postoperative stay at the ICU, she was diagnosed with thrombocytopenia and an inadequate response to platelet supplementation.
假性血小板减少症（PTCP）是一种由血小板凝集导致血小板计数降低的体外现象，会在自动细胞计数中导致假性血小板计数偏低。通常，乙二胺四乙酸（EDTA）介导这种血小板聚集。PTCP临床意义不大，但误诊可能导致不必要的诊断检查和治疗。在本病例报告中，我们介绍了一名65岁的白种女性，她在心脏手术期间及术后出现了多种并发症。在她术后入住重症监护病房期间，被诊断为血小板减少症，且对血小板补充治疗反应不佳。
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