阜阳市二院全科医学科成功救治极重度血小板减少患者获赠致谢锦旗
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background: #ffffff; visibility: visible; border: 1px solid #df8567;"><section style="text-indent: 2em; text-align: justify; line-height: 1.75em;"><span style="font-size: 16px;">近日，阜阳市第二人民医院全科医学科/老年病科成功救治一位71岁饱受极重度血小板减少症困扰的患者，目前患者状况良好，家人送来锦旗表达感谢。</span></section><section style="text-indent: 2em; text-align: justify; line-height: 1em;"><span style="font-size: 16px;"> </span></section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/Fn8ZrIist6sYIdt4MWKIaY6V3C_B" /></section><section style="text-indent: 2em; text-align: justify; line-height: 1em;"><span style="font-size: 16px;"> </span></section><section style="text-indent: 2em; text-align: justify; line-height: 1.75em;"><span style="font-size: 16px;">据了解，患者家住阜南县，体检中发现极重度的血小板减少而就诊于市二院，入院时已经出现皮肤瘀斑，经骨髓检查，综合分析，被确诊为“原发性免疫性血小板减少症（ITP）——这是一种由免疫系统异常攻击血小板，导致其数量显著减少的出血性疾病。患者初诊时，首次骨髓穿刺结果“增生不良”与临床表现不符。全科医学科/老年病科的血液组团队凭借经验与严谨，果断进行更换部位二次骨髓穿刺，由此发现关键证据“巨核细胞成熟障碍”，结合全面检查，最终锁定ITP诊断。当血小板计数低于10×10/L（正常为100-300×10/L）时，即为极重度ITP，患者随时面临致命性大出血风险。</span></section><section style="text-indent: 2em; text-align: justify; line-height: 1em;"><span style="font-size: 16px;"> </span></section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/FoB2aFNISezugoMTaPtOdoon2TXL" /></section><section style="text-indent: 2em; text-align: justify; line-height: 1em;"><span style="font-size: 16px;"> </span></section><section style="text-indent: 2em; text-align: justify; line-height: 1.75em;"><span style="font-size: 16px;">确诊后，治疗过程却困难重重：对患者标准激素冲击4天，血小板无反应；口服血小板生成素受体激动剂一周，血小板仍不升高；输注血小板，效果甚微，出血风险持续存在。</span></section><section style="text-indent: 2em; text-align: justify; line-height: 1.75em;"><span style="font-size: 16px;">结合患者年龄大且伴有多种基础疾病的情况下，全科医学科医生团队及时与患者家属沟通后，决定采用新型长效血小板生成素受体激动剂进行治疗。在经过几天观察后，患者血小板计数从5×10/L飙升至134×10/L，成功脱离高危出血风险，同时合并的其他疾病也一并治疗好转。</span></section><section style="text-indent: 2em; text-align: justify; line-height: 1.75em;"><span style="font-size: 16px;">患者及家属感激万分，专程为主治的医生团队送来锦旗，“医术精湛品德优，服务热情如亲人”。这面锦旗，不仅是对全科医学科的精准诊断能力的肯定，也是诊治手段紧跟前沿、创新疗法应用的褒奖。</span></section></section><section style="margin: -24.1px 0px 0px; 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overflow-wrap: break-word !important; color: #222222; letter-spacing: 0.544px; white-space: normal; font-family: 微软雅黑; font-size: 16px; background-color: #ffffff;"><section style="margin: 0px; padding: 0px 4px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 15px; line-height: 1.8; letter-spacing: 1px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; font-size: 16px; white-space: normal; letter-spacing: 0.544px; widows: 1; font-family: 微软雅黑; background-color: #ffffff;"><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; font-size: 14px; color: #605af5;"><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-family: Futura-Medium; color: #888888;">供 稿: 全科医学科 谢猛</span></p><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-family: Futura-Medium; color: #888888;">编 辑: 赵上静</span></p><p style="-webkit-tap-highlight-color: transparent; outline: 0px;"> </p><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-family: Futura-Medium; color: #888888;">责任编辑: 马晓琳</span></p><p style="-webkit-tap-highlight-color: transparent; outline: 0px;"> </p><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-family: Futura-Medium; color: #888888;">审 核: 高 勇</span></p></section></section></section></section></section></section></section><p style="text-align: center; margin-bottom: 0em;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/FhIWchAkPn2K3jj9ePW50Q4mUBYg" /><img class="rich_pages wxw-img __bg_gif" style="font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; 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