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??????????? (Idiopathic Thrombocytopenic Purpura)

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Idiopathic Thrombocytopenic Purpura) INTRODUCTION ... – PowerPoint PPT presentation

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Title: ??????????? (Idiopathic Thrombocytopenic Purpura)


1
??????????? (Idiopathic Thrombocytopenic
Purpura)
2
??(INTRODUCTION)
  • ???????????
  • ??
  • ?????
  • ?????
  • ??????/??????
  • ????
  • ????????ITP??????25

3
???????(ETIOLOGY)
  • ??????
  • ???????????????????????????IgG,???IgM?IgA
  • ??IgG??????,??????????????ITP
  • ?????????????Coomb,s??????????????,???????(Evan,s)

4
???????(ETIOLOGY)
  • ??????????
  • ????---??---???????---????????---??---??????---???
    ????--?????
  • ????---????----??????----????????
    ????---???? --?????
  • ????????????
  • ???????????????????---?????????????---????????????
    ?, ???????

5
????(CLINICAL MANIFESTATION)
??? ???
?? lt6 ? gt6 ?
?? 2--6? ???
?? ??? ?gt?
???? ?(50--80) ??
??????? lt20109 20--80109/L
???? ??????/????/?? ?, ????????, ???????
6
????(CLINICAL MANIFESTATION)
??? ???
????? ??? 6????? 90 ??15????? ???,??????????????? ???1, ???????? 4????50 ??????? ???????
7
????(CLINICAL MANIFESTATION)
  • ??(SUMMARY)
  • ??ITP,???
  • ???????????????,????????????????,??????????
  • ????????,1????????,????????
  • ?????????,???????

8
???(LABORATORY STUDIES)
  • ??-???
  • lt50109/L ????
  • lt 20109/L ????
  • lt 10109/L ????
  • ????????????,????
  • ??????,??????
  • ??????
  • ??0.8cm?????1ml?
  • 1h????,12--24h????

9
???(LABORATORY STUDIES)
  • ????
  • ???????,PAIgG??
  • ?????????,????????
  • ????????????,????? ?????
  • ???????????,??????

10
??????(DIAGNOSISDIFFERENTIAL DIAGNOSIS)
  • ??
  • ???????????
  • ?????,??????
  • ??????,??????????
  • ?????????????????
  • ????
  • ??????
  • ???????? ??,???,???????
  • ?????
  • Wiskott-Aldrich???

11
??(TREATMENT)
  • ????
  • ???????
  • ???????????
  • ????? 12--20 mg/kg.d 3--5???????
  • ?????????,2 mg/kg.d 3--5?????
  • ?????
  • ???????????????,1--2mg/kg.d 2-4????????
  • ????????ITP

12
??(TREATMENT)
  • ?????????(IVIG)
  • ??0.4-0.5 g/kg.d 5?
  • 1--2 g/kg.d 2--3?
  • ??????
  • ????????????
  • ?????????????????????
  • ????
  • ?????????????????????????,????,6MP,CTX

13
??(TREATMENT)
  • ???
  • ??
  • ???????????????????
  • ??
  • ????????????????
  • ??5???,????????????
  • ?????????????

14
GOOD LUCK
  • ATTENTION PLEASE - ???????!
  • ????? X
  • ????? X
  • ?

?? ?? ????
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