6个月内婴儿血小板减少性紫癜14例临床分析

Clinical analysis of 14 cases of idiopathic thrombocytopenic purpura in infants smaller than 6 months of age

［ 背景］ 血小板减少性紫癜治疗方法较多，但根据年龄有所不同．［ 病例报告］ 总结分析了１４ 例６ 个月内婴儿血小板减少性紫癜．６ 个月内婴儿紫癜占同期收治儿童血小板减少性紫癜的１７ ％ ． 本组病例均起病急骤，大多数病例只有皮肤粘膜自发性出血，发病时无严重感染征象．治疗上均给予抗炎、维生素Ｃ、激素．危重病例输血小板，预后良好．［ 讨论］６ 个月内婴儿血小板减少性紫癜具有起病急、出血轻、恢复快、病程自限等特点，故应避免治疗复杂化和不必要的经济浪费．

BACKGROUND There are many methods to treat the idiopathic thrombocytopenic purpura (ITP), but it is different according to the age.CASE REPORT It was summarized and analysed that 14 cases of ITP in infants smaller than 6 months of age who occupied 17% of children with ITP hospitalized at the same time. All 14 cases of ITP had the characteristic of sudden onset, the most cases only manifested spontaneous hemorrhage of the skin and mucosa, had no serious infectious signs, and were treated with antibiotics, homeostatic, vitamin C, hormone and so on. The critical and severe cases were treated with platelet transfusion, and the prognosis was good.DISCUSSION For the infants with ITP smaller than 6 months of age, we should avoid complexity in therapy and unnecessary economic waste because they are all sudden onset, slight hemorrhage, fast recover and the course in self limited.