Dubansky A S, Oski F A
Pediatrics. 1986 Jan;77(1):49-52.
A total of 322 physicians, Board-certified in pediatric hematology, responded to a survey designed to determine several aspects of their management of children with acute idiopathic thrombocytopenic purpura. The survey demonstrates that, in practice among specialists, a controversy exists as to whether or not bone marrow examination needs to be performed, and how often corticosteroids should be prescribed. Seventy-four percent of practitioners would perform the bone marrow examination, whereas 26% would not do so. Forty-six percent of responders prescribe steroids more than half the time, whereas 54% prescribe steroids less than half the time. The questionnaire ascertained the reasons why physicians performed marrow aspirations and prescribed steroids.
共有322名获得儿科血液学委员会认证的医生对一项旨在确定他们对急性特发性血小板减少性紫癜患儿管理的几个方面的调查做出了回应。该调查表明，在专科医生的实际操作中，对于是否需要进行骨髓检查以及应多频繁地开具皮质类固醇药物存在争议。74%的从业者会进行骨髓检查，而26%的从业者不会这样做。46%的受访者超过一半的时间会开具类固醇药物，而54%的受访者开具类固醇药物的时间不到一半。该问卷确定了医生进行骨髓穿刺和开具类固醇药物的原因。
