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血栓性血小板减少性紫癜(Thrombotic throm-bocytopenic purpura,简称 TTP)是一种凶险但及时治疗又能改观预后的临床综合征.今将我院近年来收治的2例报道如下.病例报告[例1]潘××,女性,38岁,上海市人,于1976年3月23日住院,住院号140466.患者于1972年起发现有贫血,当时血红蛋白9克%。1974年起,时有皮下出血点.入院前3周兼有龈衄、咯血,经量多,低热及头痛。外院检查外周血三系降低,骨髓检查无异常,遂转我院并于同年3月16日留急症室观察。留观期间除反复皮下出血点外还时有鼻衄,时有剧烈头痛,以右侧为甚,时而颈项强直,Kernig 征可疑阳性,上述表现
Thrombotic thrombocytopenic purpura (Thrombotic throm-bocytopenic purpura, referred to as TTP) is a dangerous but timely treatment can change the prognosis of the clinical syndrome .Two of our hospital admitted in recent years are as follows.Report [1 Pan × ×, female, 38 years old, from Shanghai, was hospitalized on March 23, 1976, with hospitalization number 140466. The patient developed anemia in 1972, when hemoglobin was 9%. There are subcutaneous bleeding points since 1974. Three weeks before admission, there are both gingivalgia, hemoptysis, excessive menstrual flow, fever and headache. Outside the hospital to check three lines of peripheral blood to reduce, no abnormalities in bone marrow examination, then transferred to our hospital and in March 16 the same year emergency room observation. During the observation period in addition to repeated subcutaneous bleeding points when there are epistaxis, when severe headache, to the right is even, sometimes neck stiffness, Kernig sign suspicious positive, the above performance