首页 | 本学科首页   官方微博 | 高级检索  
     

血栓性血小板减少性紫癜临床诊断及误诊分析
引用本文:刘芳,冯胜强,杨清明,彭朝津,杜瑜,刘默,周宏伟,欧阳璨,曹志刚. 血栓性血小板减少性紫癜临床诊断及误诊分析[J]. 解放军保健医学杂志, 2011, 0(2)
作者姓名:刘芳  冯胜强  杨清明  彭朝津  杜瑜  刘默  周宏伟  欧阳璨  曹志刚
作者单位:解放军总医院第一附属医院干三科;总参警卫局保健处;
摘    要:
目的分析血栓性血小板减少性紫癜(TTP)诱因、早期临床表现及误诊疾病,提高临床工作者对TTP的认识。方法回顾性分析9例TTP患者的早期临床表现、误诊疾病、实验室检查及相关病因。结果 9例患者早期临床表现迥异,出现时间无明显规律性,早期诊断中8例误诊,误诊的疾病分别为病毒性感冒、急性肾小球肾炎和泌尿系感染、特发性血小板减少性紫癜、骨髓异常增生综合征、脑梗死、自发性溶血性贫血,误诊率为88.9(8/9)。8例给予新鲜冰冻血浆置换和(或)甲泼尼龙、丙种球蛋白等药物治疗,6例治愈。3例因延迟诊断治疗死亡。结论 TTP病情凶险,病因复杂;早期临床症状迥异,若未及时明确诊断,可增加病死率。

关 键 词:血栓性血小板减少性紫癜  误诊  早期诊断  

To analyze the early clinical diagnosis and misdiagnosis of thrombotic thrombocytopenic purpura
LIU Fang,FENG Sheng-qiang,YANG Qing-ming,et al. To analyze the early clinical diagnosis and misdiagnosis of thrombotic thrombocytopenic purpura[J]. Journal Of Health Care And Medicine in Chinese Pla, 2011, 0(2)
Authors:LIU Fang  FENG Sheng-qiang  YANG Qing-ming  et al
Affiliation:LIU Fang,FENG Sheng-qiang,YANG Qing-ming,et al(Department of Elderly Healthcare Ward,First Affiliated Hospital of Chinese PLA General Hospital,Beijing 100037,China)
Abstract:
Objective To analyze the predisposing factors,early clinical symptoms and clinical misdiagnosis of thrombotic thrombocytopenic purpura(TTP),and to raise awareness of this disease among clinical practitioners.Methods Data of nine cases diagnosed of TTP in our hospital were reviewed retrospectively,and four indexes were studied including early clinical symptoms,clinical misdiagnosis,laboratory examination and the etiology of the cases.Results In our study,the early clinical symptoms of the nine cases of TTP w...
Keywords:Thrombotic thrombocytopenic purpura  Misdiagnosis  Early diagnosis  
本文献已被 CNKI 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号