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多学科联合诊疗1例血栓性血小板减少性紫癜

Multidisciplinary diagnosis and treatment for a case of thrombotic thrombocytopenic purpura

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【作者】 向国强宋正芳向航吴耀辉胡俊斌卢聪

【Author】 XIANG Guoqiang;SONG Zhengfang;XIANG Hang;WU Yaohui;HU Junbin;LU Cong;Department of Hematology, the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture;Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology;

【通讯作者】 卢聪;

【机构】 恩施土家族苗族自治州中心医院血液内科华中科技大学同济医学院附属协和医院血液病学研究所

【摘要】 文章介绍了1例血栓性血小板减少性紫癜患者经多学科联合诊疗讨论,对该患者做出准确诊断,得到及时有效救治过程。患者以神经精神症状为首发表现,合并重症肺炎、呼吸衰竭,以及呕血等出血表现,病程短,病情进展迅速,经过血浆置换联合糖皮质激素治疗,辅以抗感染、呼吸机辅助,病情缓解后出院。

【Abstract】 This article presents a case of thrombotic thrombocytopenic purpura that was accurately diagnosed and effectively treated through multidisciplinary team discussion. The patient initially presented with neuropsychiatric symptoms, accompanied by severe pneumonia, respiratory failure and hemorrhagic manifestations such as hematemesis. The disease progressed rapidly within a short course. After treatment with plasma exchange combined with glucocorticoids, supplemented by anti-infective therapy and ventilator support, the patient’s condition improved, and they were discharged.

  • 【文献出处】 临床血液学杂志 ,Journal of Clinical Hematology , 编辑部邮箱 ,2025年07期
  • 【分类号】R554.6
  • 【下载频次】90
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