论文部分内容阅读
血栓性血小板减少性紫癜(TTP)是一种罕见病,临床诊断靠以下五联征:发热、中枢神经系统功能障碍、肾脏损害、微血管病性溶血性贫血(MAHA)和血小板减少性紫癜。病理检查可见弥散性纤维素性微血栓。作者报告1例CO中毒并发TTP。病例报告:男性,27岁,住在小而通风不良的房间里,用煤气火炉取暖。送进急救室时已昏迷12小时。体温40.5℃,血压130/70mmHg,呼吸40次/分,脉搏规则84次/分,深腱反射亢进,腋和臀部可见瘀斑,颈、手和大腿有红斑性大疱。血红蛋白10.3g/dl,
Thrombotic thrombocytopenic purpura (TTP) is a rare disease that is clinically diagnosed with the following five syndromes: fever, central nervous system dysfunction, kidney damage, microangiopathic hemolytic anemia (MAHA), and thrombocytopenic purpura. Pathological examination showed diffuse fibrinous microthrombi. The authors report a case of CO poisoning complicated by TTP. Case Report: Male, 27 years old, living in a small, poorly ventilated room with a gas stove. When sent to the emergency room has been unconscious for 12 hours. Body temperature 40.5 ℃, blood pressure 130 / 70mmHg, breathing 40 beats / min, pulse rule 84 beats / min, deep tendon hyperreflexia, ecchymosis visible in the axilla and buttocks, neck, hand and thigh erythema bullous. Hemoglobin 10.3g / dl,