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诊断血小板减少症:做了很多检查,都没有找到原因

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Often patient consultation: I found low platelet in physical examination, which had been normal before. Doctors said that thrombocytopenia, but did a lot of tests, did not find the reason, is not the diagnosis wrong? What is this disease in the end?

Hematologist introduced that the diagnosis of thrombocytopenic purpura is mostly "exclusion method", besides blood routine, bone marrow puncture, immunological examination and so on are necessary to do it!

Blood routine needs to be done a few more times! ____________

Our common diagnosis of idiopathic thrombocytopenic purpura can only be confirmed after excluding other secondary thrombocytopenia. Moreover, we can not directly diagnose thrombocytopenia by the results of a single blood routine examination. Therefore, blood routine usually needs to be done several times more.

Since blood routine can determine thrombocytopenia, why do we need to do other tests?

A series of autoimmune antibody tests were carried out to exclude other immune-related diseases such as lupus erythematosus, Sjogren's syndrome, thyroid disease and so on. Monitoring HIV, HCV, EB virus, Helicobacter pylori and so on is to understand whether thrombocytopenia is associated with these viruses and bacterial infections.

Bone marrow aspiration is to examine the quantity and quality of megakaryocytes in bone marrow, excluding other hematological diseases that cause thrombocytopenia.

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To sum up, the diagnosis of thrombocytopenia must be specifically analyzed, especially the possibility of other secondary thrombocytopenia. Are there any unintelligible results? You can click on the Public Number menu for free interpretation!

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