| 原发免疫性血小板减少症并发围术期深静脉血栓1例并文献复习及思考 |
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| 引用本文： | 常婧,孙爱春. 原发免疫性血小板减少症并发围术期深静脉血栓1例并文献复习及思考[J]. 国际医药卫生导报, 2022, 28(11): 1592-1594. DOI: 10.3760/cma.j.issn.1007-1245.2022.11.026 |
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| 作者姓名： | 常婧 孙爱春 |
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| 作者单位： | 青岛大学附属威海市中心医院妇科，威海 264400 |
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| 摘 要： | 目的 探讨围术期合并原发免疫性血小板减少症（ITP）病例预防出血及血栓形成的临床应对方案。方法 回顾性分析1例ITP患者并发围术期深静脉血栓的临床资料，并汇总复习相关文献资料。结果 ITP患者不仅需关注血小板减少相关出血风险，也应当关注发生血栓事件风险。手术及升血小板治疗均有可能是ITP患者血栓发生的危险因素。围术期建议常规监测血常规、凝血功能及血管超声检查，适时停用升血小板药物，必要时需抗凝治疗，以预防及早期发现深静脉血栓。结论 围术期的ITP患者需警惕血栓发生风险。
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| 关 键 词： | 原发免疫性血小板减少症 血栓 围术期 |
| 收稿时间： | 2022-03-03 |
Primary immune thrombocytopenia complicated with perioperative deep venous thrombosis: a case report and literature review |
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| Chang Jing,Sun Aichun. Primary immune thrombocytopenia complicated with perioperative deep venous thrombosis: a case report and literature review[J]. International Medicine & Health Guidance News, 2022, 28(11): 1592-1594. DOI: 10.3760/cma.j.issn.1007-1245.2022.11.026 |
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| Authors: | Chang Jing Sun Aichun |
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| Affiliation: | Department of Gynecology, Weihai Central Hospital Affiliated to QingdaoUniversity, Weihai 264400, China |
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| Abstract: | Objective To explore the clinical scheme in prevention of bleeding and thrombosisin perioperative patients with primary immune thrombocytopenia (ITP). Methods The clinical data of a patient with ITP and deepvenous thrombosis during perioperative period were analyzed retrospectively,and the relevant literatures were summarized and reviewed. Results ITP patients should pay attention not only to the risk ofthrombocytopenia related bleeding, but also to the risk of thrombotic events. Surgeryand platelet raising therapy may be the risk factors of thrombosis in patientswith ITP. During the perioperative period, it is recommended to routinelymonitor blood routine, coagulation function, and vascular ultrasound, stopplatelet raising drugs in time, and take anticoagulant treatment if it isnecessary, so as to prevent and early detect deep venous thrombosis. Conclusion Patients with ITPshould be alert to the risk of thrombosis during perioperative period. |
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| Keywords: | Primary immune thrombocytopenia Thrombosis Perioperative Period |
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