Robbins G, Barnard D L
Acta Haematol. 1983;70(3):175-82. doi: 10.1159/000206719.
Data on 372 patients with thrombocytosis (TC), defined as a platelet count over 500 X 10(9)/1, were accumulated in a non-biased fashion. Surgery, per se, was a common cause of TC and malignancy, if uncomplicated by infection, bleeding or surgery, was a less common cause of TC than suggested in previous surveys. The reasons for these apparent differences are discussed. Postoperative TC resolved within 30 days of surgery in the absence of complications. Transient reactive TC due to a variety of causes was accompanied by a significant fall in platelet volume in contrast to the megathrombocytosis found in postsplenectomy and myeloproliferative TC.
我们以无偏倚的方式收集了372例血小板增多症（TC）患者的数据，血小板增多症定义为血小板计数超过500×10⁹/L。手术本身是血小板增多症的常见原因，而恶性肿瘤若未并发感染、出血或手术，则是血小板增多症的原因，相较于之前的调查结果，其并不常见。文中讨论了这些明显差异的原因。术后若无并发症，血小板增多症在术后30天内可缓解。与脾切除术后和骨髓增殖性血小板增多症中发现的巨血小板增多症不同，各种原因引起的短暂反应性血小板增多症伴有血小板体积显著下降。
