Thrombocytopenia and Thrombocytopathy

G. Johns
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Abstract

Platelet disorders are quantitative or qualitative, or both. Either markedly increased or decreased numbers of platelets can cause harmful sequelae. Platelet disorders can be divided into acquired or hereditary; acquired disorders are much more common than congenital disorders. Platelet disorders can be due to increased platelet destruction or decreased platelet production. Pseudothrombocytopenia, dilutional effects, or possible splenic sequestration should be considered when the platelet count is low for the first time. The recent addition of a drug, commonly used in intensive care units, is also an important consideration for patients with newly acquired thrombocytopenia.
血小板减少症和血小板病
血小板紊乱是定量的或定性的,或两者兼而有之。血小板数量的明显增加或减少都可引起有害的后遗症。血小板疾病可分为获得性和遗传性;获得性疾病比先天性疾病更常见。血小板紊乱可能是由于血小板破坏增加或血小板产生减少。首次血小板计数低时应考虑假性血小板减少症、稀释效应或可能的脾隔离。最近增加了一种药物,通常用于重症监护病房,也是新获得性血小板减少症患者的重要考虑因素。
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