治疗原则 对急性、重型患者,目的是防止致命性出血;对慢性或已缓解者,是促进病情缓解或维持缓解;联合用药能提高疗效。 治疗方案 推荐方案1～6 1、肾上腺皮质激素 适用血小板计数明显减少,有较严重皮肤、粘膜出血,有颅内出血倾向者;脾切除前作减少手术出血的措施。 用法:强的松40～60mg/日、严重出血者60～100mg/日,疗程2～4周,缓解后渐减量维持治疗。急性出血者可用氢化考的松200mg/iv qd或氟美松10～20mg/iv qd,连用3～5日,缓解后改口服强的松维持。 Therapeutic principles for acute and severe patients, the purpose is to prevent fatal bleeding; for chronic or those who have been alleviated, is to promote remission or to maintain remission; combination can improve the efficacy. Treatment programs recommended programs 1 ~ 6 1, adrenal cortex hormone for platelet count was significantly reduced, there is more serious skin, mucous membrane bleeding, intracranial bleeding tendency; splenectomy before surgery to reduce the bleeding measures. Usage: prednisone 40 ~ 60mg / day, severe bleeding 60 ~ 100mg / day, course of treatment for 2 to 4 weeks, reduce the amount of relief to maintain treatment. Acute bleeding can be used hydrocortisone 200mg / iv qd or dexamethasone 10 ~ 20mg / iv qd, once every 3-5 days, after remission oral prednisone to maintain.