The 5 -year -old boy was inexplicably stasis. If he accidentally touched it, he was bruised. It was treated for 5 months for skin diseases, but repeated repeatedly. When checking the blood routine, it was found that the platelet value was only 1/20 of the normal value. Finally, it was diagnosed with immune thrombocytopenia to reduce purpura.
The 5 -year -old boy’s skin inexplicable stasis has repeatedly occurred, and the fatal threat was found
Five months ago, Ms. Li discovered that a 5 -year -old son Tong Tong (a pseudonym) had a lot of red dots on the skin of the limbs. After accidentally colliding, it was a bruise and never retired for a long time. When I went to the local hospital for many times, they were treated with “skin diseases”. Although the stasis point faded after the consultation, it was still repeated.
Ten days ago, Ms. Li found that the skin stasis of Tong Tong’s limbs soared. When she went to the local hospital, she found that the platelets were only 11 × 109/L. 300 × 109/L), Ms. Li was scared to consult two hospitals in Panyu District, Guangzhou, and the doctor suggested that she go to the higher -level hospital for hospitalization.
As a result, Tong Tong was rushed to the emergency treatment of the Prayer Hospital by his mother, and was immediately included in the pediatric ward with “platelet reduction purpura”. After admission, the deputy director of the pediatrics, the director of the pediatric deputy director, immediately checked the routine of the Tongtong’s eagerness. The inspection department reported that the child’s platelet was critical: 5 × 109/L, which was only 1/20 of the lowest value of normal platelets.
Fu Ying explained that the general platelet count is less than 30 × 109/L, especially when it continues to be lower than 10 × 109/L. There will be potential risks of severe bleeding. Gastrointestinal tract, urinary tract, and intracranial hemorrhage; individual severe intracranial hemorrhage may lead to death.
Urgent symptomatic treatment, the next day’s crisis was canceled
The situation was urgent, Fu Ying instructed the medical staff to immediately let the children rest in bed, avoid collision, and give the pediatric first -level care. Parents told parents to give their children soft food; Other related treatment.
Parents did not expect that the situation was so serious, very panic, worried that Tong Tong had a disease, and worried all day. Medical staff communicated with them the treatment effects of their children in time and gave them psychological comfort.
On the second day of treatment, Tong Tong’s platelets rose significantly and the crisis was lifted. Moreover, after bone marrow puncture, the vicious diseases of the blood system were excluded, and the results of various examinations and clinical manifestations were combined with various examination results and clinical manifestations. What is diagnosed with child and children is the immune thrombocytopenia to reduce purpura. After careful treatment by pediatric medical staff, Tong Tong has been discharged smoothly a few days ago.
Skin stasis points non -specific symptoms, pay attention to identification
Immune platelet reduction purpura (ITP) is an immune syndrome and a common hemorrhagic disease. However, Fu Ying reminded that skin stasis and ecchymosis are not unique to the reduction of purpura of immune platelets. Doctors should pay attention to identifying hemorrhagic diseases such as allergic purpura and hemophilia.
Allergic purpura is manifested as skin purpura, abdominal pain, joint pain, hematuria, proteinuria, etc. with both lower limbs. It can develop throughout the year, and it is more common in spring and autumn.
Hematomy is a group of hemorrhagic diseases of hemorrhage dysfunction. The main manifestations are repeatedly spontaneous bleeding. Not only will skin and mucosal bleeding, but also affect the function of joint activity, and even cause disability.
Fu Ying pointed out that the identification of immune thrombocytopenic purpura and allergic purpura and hemophilia is actually very simple. As long as the platelet is checked, if the child’s platelet count is normal, it must not be an immune platelet reduction purpura.