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目的:分析原发性血小板增多症患者临床表现及诊疗体会。方法:回顾性分析我院2014年2月~2015年2月期间收治的22例原发性血小板增多症患者的临床资料,分析其临床表现、诊断及治疗结果。结果:本组22例脑梗塞患者中有8例患者经治疗后完全康复,有4例患者有不同程度的肢体障碍,有4例不稳定心绞痛患者疼痛症状明显缓解,有4例心肌梗塞患者病情明显好转,有1例下肢血管栓塞患者经治疗后完全再通,有1例门静脉血栓患者病情稳定,经随访发现,本组患者均未出现血栓塞情况。结论:对血栓病患者来说,可能会并发原发性血小板增多症的可能性,若确诊为原发性血小板增多症,根据其危险程度进行分层治疗,对降低血栓再发生率以及提高患者的生活质量有重要意义。
Objective: To analyze the clinical manifestations and diagnosis and treatment of patients with essential thrombocythemia. Methods: The clinical data of 22 patients with essential thrombocythemia admitted from February 2014 to February 2015 in our hospital were retrospectively analyzed. The clinical manifestations, diagnosis and treatment results were analyzed. Results: In the 22 patients with cerebral infarction, 8 patients recovered completely after treatment, 4 patients had varying degrees of limb disorders, 4 patients with unstable angina relieved pain symptoms, 4 patients with myocardial infarction Obvious improvement, a case of lower extremity vascular embolism patients completely recanalized after treatment, 1 case of portal vein thrombosis in stable condition, found after follow-up, no thrombosis in this group of patients. Conclusion: Patients with thrombosis may be complicated by the possibility of primary thrombocythemia, if diagnosed with essential thrombocythemia, stratification according to their risk stratification, to reduce the rate of thrombosis and improve the patient The quality of life is of great importance.