慢性乙型肝炎合并血小板减少症1例

作者： class=fontstyle0> size=3 face=KaiTi_GB2312>杨颖 class=fontstyle1> size=1>1 class=fontstyle1 style="FONT-SIZE: 11pt">   class=fontstyle0> size=3 face=KaiTi_GB2312>张璐 class=fontstyle1> size=1>2 class=fontstyle1 style="FONT-SIZE: 11pt">   class=fontstyle0> size=3 face=KaiTi_GB2312>李明慧 class=fontstyle1> size=1>2

单位：1.邢台市第二医院 肝病2科 河北 邢台 054001  2.首都医科大学附属北京地坛医院肝病2科 北京 100015

关键词：肝炎 乙型 血小板减少

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出版年,卷(期):页码：2023,15(2):14-17

摘要：

摘要： 慢性乙型肝炎引起的血小板减少症较常见，血小板计数＜ 30 × 109/L时常需用药预 防出血。临床中当患者血小板计数＜ 10 × 109/L时，病情往往比较危急。现报告1例慢性 乙型肝炎患者在诊疗过程中出现血小板计数进行性下降至＜ 10 × 109/L，但无出血表现， 骨髓穿刺病理结果显示骨髓造血无异常，且随着肝病好转，患者血小板计数逐渐上升。

Abstract: Thrombocytopenia caused by chronic hepatitis B is common, medication intervention is often required to prevent bleeding when platelet count ＜ 30 × 109/L. When the platelet count ＜ 10 × 109/L indicates that the condition is relatively critical. A case of chronic hepatitis B with a progressive decrease of platelet count to ＜ 10 × 109/L during diagnosis and treatment was reported. The patient had no bleeding, the results of bone marrow aspiration showed no abnormalities in bone marrow hematopoiesis and with the improvement of hepatitis B, the platelet count gradually increased as follows.

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