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[急性和急诊医学中的血小板减少症与溶血性贫血:血栓性微血管病的详细视角]

[Thrombopenia and hemolytic anemia in acute and emergency medicine : Detailed view at thrombotic microangiopathies].

作者信息

Potthoff Sebastian Alexander

机构信息

MVZ Nephrocare Mettmann GmbH, Gartenstr. 4-8, 40822, Mettmann, Deutschland.

Medizinische Fakultät, Heinrich-Heine-Universität, 40225, Düsseldorf, Deutschland.

出版信息

Inn Med (Heidelb). 2025 Jan;66(1):64-81. doi: 10.1007/s00108-024-01835-8. Epub 2025 Jan 22.

Abstract

Recognizing anemia and thrombpenia in acute and emergency medicine is easy. Acute (microangiopathic hemolytic) anemia and thrombopenia can be a sign of thrombotic microangiopathy (TMA). TMA syndromes are potentially life-threatening diseases. Diagnosing a TMA syndrome, causal differentiation and treatment require specialist knowledge that is not always available in acute and emergency medicine. Many differential diagnoses and examinations are usually necessary to make a correct diagnosis. Therefore, a standardized diagnostic algorithm is helpful for early diagnosis and treatment initiation.

摘要

在急性和急诊医学中识别贫血和血小板减少症很容易。急性(微血管病性溶血性)贫血和血小板减少症可能是血栓性微血管病(TMA)的征兆。TMA综合征是潜在的危及生命的疾病。诊断TMA综合征、进行病因鉴别和治疗需要专业知识,而急性和急诊医学中并不总是具备这些知识。通常需要进行许多鉴别诊断和检查才能做出正确诊断。因此,标准化的诊断算法有助于早期诊断和开始治疗。

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