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血小板减少伴血管瘤综合征1例

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摘要 患儿 女,3月,以“上腹部瘀斑3月,加重1d”入院。患儿足月顺产,生后腹部可见约10cm×5cm大小的片状蓝紫色区,散在隆起颗粒状结节,局部无明显肿胀压痛,身体其他部位未见类似病变。生后第5天因“新生儿黄疸”在我院住院查血小板195×10^9/L。入院查体:腹部可见有16cm×10cm大小的瘀斑,中间为10cm×3cm大小紫色瘀斑,突出皮面异常。入院后查血小板:4.1×10^9/L,凝血酶原时间正常,纤维蛋白原延长,部分凝血酶原时间延长,纤维蛋白降解产物延长,二聚体定量增加。腹壁B超示:腹部皮下可探及7.0cm×9.0cm×1.1cm不均质低回声,边界不清,形态不规则,彩色多普勒超声显像:血流较丰富,提示腹壁血管瘤。肝胆胰脾未见异常。诊断为血小板减少伴血管瘤综合征(kasabach-merritt syndrome,KMS)。给予口服强的松1mg/kg·d,维生素C及维生素K1。住院1周,腹部瘀斑范围明显缩小,血小板升至7.0×10^9/L后出院。
出处 《中国生育健康杂志》 2007年第1期47-47,共1页 Chinese Journal of Reproductive Health
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参考文献3

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二级参考文献12

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