免疫性血小板减少性紫癜:一种血液病

Akash Shivani, Kumar, Umesh Kumar, Akash Kumar
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摘要

免疫性(特发性)血小板减少性紫癜(ITP)是一种由自身抗体介导的疾病,其特点是血液中血小板水平异常低下。当血小板生成的速度不足以抵消血小板破坏速度的增加时,抗体介导的血小板快速破坏最初被认为是导致 ITP 的原因。然而,最近的研究集中于开发促进血小板生成的疗法,因为研究发现,血小板生成不足或不充分也是导致血小板计数过低的一个因素。ITP 可分为急性和慢性两种,对儿童和成人都有影响。由于 ITP 的临床表现因人而异,因此必须对症状和体征进行全面评估,以便有效地管理和治疗 ITP。由于缺乏有关临床和实验室特征的数据,ITP 的诊断方法目前主要依靠排除法。了解患者病史和进行体格检查是儿童和成人常用的诊断技术。疑似 ITP 患者需要进行标准的实验室检查,如全血计数和外周血涂片。随着不同程度的成功,一些专门的实验室检测方法也应运而生。但检测 ITP 的诊断程序仍有简化和改进的余地。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
IMMUNE THROMBOCYTOPENIC PURPURA: A HAEMATOLOGICAL DISORDER
Immune (idiopathic) thrombocytopenic purpura (ITP) is an autoantibody-mediated condition characterised by an unusually low level of platelets in the bloodstream. When thrombopoiesis was not occurring quickly enough to counteract the increased rate of platelet destruction, rapid antibody-mediated platelet destruction was initially thought to be the cause of ITP. However, recent research has concentrated on the creation of therapies that boost platelet production as it has emerged that insufficient or inadequate platelet production is also a factor in low platelet counts. ITP can be acute or chronic and affects both children and adults. Because the clinical manifestation of ITP can differ greatly from patient to patient, a thorough assessment of the signs and symptoms must be done in order to manage and treat ITP effectively. Due to the lack of data on clinical and laboratory characteristics, the diagnostic method for ITP now relies heavily on a process of exclusion. Obtaining the patient's medical history and conducting a physical examination are common diagnostic techniques used on both children and adults. Patients with suspected ITP have standard laboratory tests, such as a complete blood count and a peripheral blood smear. With various levels of success, a number of specialised laboratory assays have been created. There is still room to streamline and enhance the diagnostic procedure for detecting ITP.
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