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以神经系统症状首发的血栓性血小板减少性紫癜3例报道并文献复习

何莹超 陈兴泳 陈名峰 张旭

内科Issue(2):152-155,127,5.
内科Issue(2):152-155,127,5.

以神经系统症状首发的血栓性血小板减少性紫癜3例报道并文献复习

Neurological manifestations as initial presentations of thrombotic thrombocytopenic purpura:3 cases report and review of literatures

何莹超 1陈兴泳 1陈名峰 1张旭1

作者信息

  • 1. 福建医科大学省立临床医学院/福建省立医院神经内科,福州市 350001
  • 折叠

摘要

Abstract

Objective To summarize the clinical characteristics of thrombotic thrombocytopenic purpura(TTP)presen-ting neurological manifestations as initial symptoms and improve the diagnostic level.Methods Clinical data of 3 cases of TTP were retrospective analyzed with literatures review.Results Fever,microvascular platelet clumping resulting in thrombocytopenia,microangiopathic hemolysis,neurological abnormality,and renal dysfunction were the characteristics of TTP.The initial symptom shown as neurological disfunction was easily misdiagnosed as stroke and intracranial infection. Early plasma exchange therapy should be effective.Conclusions The TTP presenting neurological manifestations as initial symptoms is easily misdiagnosed and should be early diagnosed and treated.

关键词

血栓性血小板减少性紫癜/神经精神症状/临床特点

Key words

Thrombotic thrombocytopenic purpura/intracranial infection/Clinical characteristics

分类

医药卫生

引用本文复制引用

何莹超,陈兴泳,陈名峰,张旭..以神经系统症状首发的血栓性血小板减少性紫癜3例报道并文献复习[J].内科,2014,(2):152-155,127,5.

内科

1673-7768

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