Mäkipernaa A, Nyman R
Tampere University Hospital, Finland.
Pediatr Hematol Oncol. 1995 Sep-Oct;12(5):485-8. doi: 10.3109/08880019509009479.
We describe a 14-year-old girl with acute immune thrombocytopenic purpura. She presented with acute abdominal pain, and her hematocrit decreased from 44% to 29%. The bleeding was due to the rupture of a distended follicle on about the 14th day of her menstrual cycle. The patient's low platelet count made possible the continuous oozing of blood from the follicle into the abdominal cavity, causing peritoneal irritation and the fall in hematocrit. She received treatment with intravenous Ig. This case indicates that unnecessary surgery can be avoided if there is reason to believe that the cause of internal bleeding does not require surgical intervention.
我们描述了一名患有急性免疫性血小板减少性紫癜的14岁女孩。她出现急性腹痛，血细胞比容从44%降至29%。出血是由于月经周期第14天左右一个扩张卵泡破裂所致。患者血小板计数低使得血液从卵泡持续渗入腹腔，引起腹膜刺激和血细胞比容下降。她接受了静脉注射免疫球蛋白治疗。该病例表明，如果有理由相信内出血原因无需手术干预，就可以避免不必要的手术。
