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血栓性血小板减少性紫癜(Thrombotic Thrombcytopenic Purpura.TTP),是以血小板减少性紫癜、溶血性贫血伴神经系统症状、发热和肾脏损害为临床表现的一种综合征。该病存活率低,临床少见。现将我科诊治的三例TTP报告分析如下: 例1女,22岁,无明显诱因突发间歇性抽搐、嗜睡伴发热、乏力、皮肤、巩膜黄染收住。入院查:T38。8℃,浅昏迷,皮肤、巩膜黄染,全身散在大小不等的紫癜,浅表淋巴结不大。颈部轻度抵抗,心肺无异常,肝脾未及。双侧肌力0～1级,尿失禁。实验室查:BPC16×10~9/L,
Thrombotic Thrombcytopenic Purpura.TTP is a syndrome characterized by thrombocytopenic purpura, hemolytic anemia with neurological symptoms, fever and kidney damage. The disease survival rate is low, clinically rare. Three cases of diagnosis and treatment of TTP now report our analysis as follows: Example 1 Female, 22 years old, no obvious incentive Suddenly intermittent convulsions, lethargy with fever, fatigue, skin, sclera yellow dye. Admission check: T38.8 ℃, shallow coma, skin, scleral yellow dye, body size ranging from purpura, superficial lymph nodes is not. Neck mild resistance, no abnormal heart and lung, liver and spleen not yet. Bilateral muscle strength 0 to 1, urinary incontinence. Laboratory investigation: BPC16 × 10 ~ 9 / L,