乙二胺四乙酸依赖性假性血小板减少症患者既往治疗为登革热

Hendra Nur'amin, M. Prenggono, Wivina Riza Devi
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引用次数: 0

摘要

摘要:乙二胺四乙酸(EDTA)是用于全血计数的最广泛使用的抗凝剂之一。EDTA可能引起假性血小板减少症(PTCP),这种情况可能导致诊断和治疗不当。我们报告了一名25岁女性,自入院前1个月以来,患有非特异性头痛和关节疼痛,血小板计数非常低。她被诊断为登革热感染,并从之前的二级医院输了一些血小板。她接受了另一种抗凝剂(柠檬酸钠)的血液测试和骨髓抽吸术。结果显示,她的血小板计数和骨髓细胞数正常。当患者被确定为血小板减少症,没有任何出血表现、血液学疾病和家族史时,应考虑PTCP,以防止不必要的干预。关键词:血小板、假性血小板减少症、乙二胺四乙酸、登革热
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ethylenediaminetetraacetic Acid‑Dependent Pseudothrombocytopenia in Patient Previously Treated as Dengue Fever
Abstract: One of the most widely used anticoagulants for a complete blood count is ethylenediaminetetraacetic acid (EDTA).  Pseudothrombocytopenia (PTCP) may be caused by EDTA, this condition may lead to inappropriate diagnosis and treatment. We report a 25-year-old female with unspecific headache and joint pain with very low platelet count since 1 month before hospital admission. She was diagnosed with Dengue fever infection and got some platelet transfusion from the previous secondary hospital. She was carried out for a blood test with another anticoagulant (sodium citrate) and bone marrow aspiration. The results showed that she had normal platelet count and bone marrow cellularity. When a patient was identified with thrombocytopenia without any bleeding manifestation, hematology disease, and family history, PTCP should be taken into consideration to prevent unnecessary intervention. Keywords: platelet, pseudothrombocytopenia, ethylenediaminetetraacetic acid, Dengue fever
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