【摘要】 目的:探讨小儿特发性血小板减少性紫癜的临床特征。方法:通过回顾性分析,对50例小儿特发性血小板减少性紫癜的临床特征、诊断、治疗进行分析。结果:①小儿ITP出血部位较单纯。②婴幼儿发病多见,<8月22例,占44%,<24月34例,占68%。③其发病与病毒感染有密切的相关性,支原体感染亦可能是其致病因素;骨髓检查结果提示巨核细胞成熟障碍。④联合应用丙种球蛋白和肾上腺皮质激素可明显缩短两者单用使血小板计数达正常的时间。结论:小儿ITP中婴幼儿的发病率高,发病有多因素,联合应用丙种球蛋白及甲基强的松龙可明显缩短血小板计数达正常的时间。更多还原

【Abstract】 Objective: To describe the clinical characteristics of the children with ITP.Method: Through reviewing 50 cases of children with ITP,to observe the clinical characteristics,diagnosis and therapy of children with ITP.Results: ①The bleeding part of the children with ITP was localization. ②In the 50 patients,there were 22 infants who less than 8 months,nearly 44% of the observing objects,and 34 infants who less than 24 months,nearly 68%.③Virus infection was in relation to the pathogenesis of the children with ITP,perhaps mycoplasma infection also played a role in it;bone-marrow examination showed dysmaturity.④The time of platelet counts turning normal was obviously shortened by using intravenous immunoglobulin associated with methylprednisolone treatment.Conclusion: Incidence of the children with ITP in infants was higher than other age, and was multiple factor,the time of platelet counts turning normal was obviously shortened by using intravenous immunoglobulin associated with methylprednisolone treatment.更多还原