北印度三级医院出现发热伴血小板减少症患者的临床和实验室评价

D. Soin, P. Grover, H. Khutan, R. Malhotra
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引用次数: 0

摘要

摘要:介绍:发热伴血小板减少症是一种常见的疾病,与发病率和死亡率增加相关。目的:本研究旨在评估发热伴血小板减少患者的病因学、临床特征和实验室资料,这对确定这些患者的结局和预后具有重要价值。材料与方法:对50例有发热伴血小板减少病史的住院患者进行分析。对各种系统进行了详细的检查。常规检查、特异性和特殊检查(血尿培养、维达尔、疟疾抗原检测、IgM ELISA登革、骨髓检查等)。结果:从本研究中观察到,感染(98%)是最常见的原因,在感染中,疟疾(36%)是最常见的原因,其次是病毒性疾病(34%)。在治疗了根本原因后,血小板计数明显增加。结论:血小板减少是许多发热病例中最常见的实验室检查结果。所有发热病例,不论有无出血表现,均应做血小板计数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical and Laboratory evaluation of patients presenting with fever with Thrombocytopenia in a tertiary care hospital of North India
http://dx.doi.org/10.21276/IJRDPL.22780238.2018.7(2).2959-2961 ABSTRACT: Introduction: Fever with thrombocytopenia is a common condition that is associated with an increased risk of morbidity and mortality. Aims & Objectives: The study was designed to assess the etiology, clinical features and laboratory profile of fever with thrombocytopenic patients which is of great value in determining the outcome and prognosis in these patients. Material & Methods: A total number of 50 patients who were admitted with the history of fever with thrombocytopenia were studied. Detailed examination of various systems was done. Routine investigations were done, Specific and Special investigations (Blood & Urine culture, Widal, Antigen test for malaria, IgM ELISA Dengue, Bone marrow examination etc.,) were done as and when indicated. Results: From this study it was observed that infections (98%) were the most common cause and among infections malaria (36%)was the commonest cause followed by viral illness (34%). Definitive increase in platelet counts was noted after treating the underlying cause. Conclusion: Thrombocytopenia was the commonest laboratory finding in many fever cases. It is better to do platelet count in all fever cases whether they have bleeding manifestations or not.
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