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血栓性血小板减少性紫癜——脾切除术后缓解。病例报告及文献复习。

Thrombotic thrombocytopenic purpura--remission following splenectomy. Report of a case and review of the literature.

作者信息

Reynolds P M, Jackson J M, Brine J A, Vivian A B

出版信息

Am J Med. 1976 Sep;61(3):439-47. doi: 10.1016/0002-9343(76)90385-5.

Abstract

A case of thrombotic thrombocytopenic purpura in which sustained remission followed splenectomy is described. Strong serologic evidence of concurrent infection with Mycoplasma pneumoniae was found in this case. Previously reported cases in which thrombotic thrombocytopenic purpura has been associated with infections are reviewed. An approach to management of this unusual and frequently fetal condition, is suggested, based on a detailed review of the recent literature.

摘要

本文描述了一例血栓性血小板减少性紫癜患者,该患者在脾切除术后实现了持续缓解。此病例中发现了肺炎支原体并发感染的有力血清学证据。对先前报道的血栓性血小板减少性紫癜与感染相关的病例进行了综述。基于对近期文献的详细回顾,提出了一种针对这种不寻常且常危及生命状况的治疗方法。

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