93例血小板减少症的病因分析

目的：探讨引起单纯血小板减少的多种病因并做出诊断和鉴别诊断,提高对此类疾病的正确诊断率。方法整群选取2013年1月—2015年10月该院收治的93例单纯血小板减少的住院患者进行回顾性分析。结果93例患者中引起单纯血小板减少最常见的病因是血液系统疾病74例(占79.6%),其中良性疾病66例(占70.9%),恶性疾病8例(占8.6%),非血液系统疾病19例(占20.4%);血液系统疾病和非血液系统疾病就诊时血小板计数分布差异无统计学意义(P>0.05)。血液系统与非血液系统男女比例差异无统计学意义(P>0.05)。必须对单纯血小板减少的患者检查自身免疫指标、骨髓细胞形态进行确诊。结论很多种疾病可引起血小板减少,必须进行全面详细的检查进行诊断和鉴别诊断,并对该类患者进行较长时间随访。

Etiology Analysis of 93 Cases of Thrombocytopenia

Objective To investigate the variety reasons of pure thrombocytopenia and make the diagnosis and differential diagnosis, and improve the rate of correct diagnosis of such diseases. Methods Group selection retrospectively analyzed about 93 cases of thrombocytopenia in hospitalized patients from January 2013 to October 2015. Results 74 cases of pa-tients with thrombocytopenia caused from the hematopoietic system diseases, the most common cause, of which 66 patients with benign diseases (70.9%), malignant disease 8 cases (8.6%); 19 cases (20.4%) caused from non-hematopoietic system diseases; the peripheral blood platelet counts and platelet distribution ratio values between the hematopoietic system dis-eases and non-hematopoietic system diseases in Initial treatment showed no significant difference (P>0.05); The sex ratio between hematopoietic and non-hematopoietic was no significant difference (P>0.05). For the pure thrombocytopenia reduc-tion as the first performance, it is need to timely diagnose by self-immunity indicators and bone cell morphology examina-tion. Conclusion Thrombocytopenia can caused by a variety of diseases, patients must be accepted comprehensive and de-tailed examination for diagnosis and differential diagnosis, and followed up for a long time.