血栓性血小板减少性紫癜是一种微血管性贫血。主要出血、溶血,精神及神经症状和肾功能衰竭等。我科从1970年至1987年收治4例。现报告如下: 例1:女,21岁,未婚,工人。因衄血及皮肤紫斑伴不规则低热15天于1970年12月5日入院。皮肤可见散在性出血点及淤斑,表浅淋巴结不大。巴彬斯基征阳性。心肺(一),肝脾未触及。血红蛋白80g/L,白细胞11.0×10~9/L,中性粒细胞70％,淋巴细胞30％,血小板35×10~9/L,出凝血时间正常,网织红8.5％, Thrombotic thrombocytopenic purpura is a microvascular anemia. Major bleeding, hemolysis, mental and neurological symptoms and renal failure. My department from 1970 to 1987 admitted to 4 cases. The report is as follows: Example 1: Female, 21 years old, unmarried, worker. Due to blood and skin purpura with irregular low fever 15 days in December 5, 1970 admission. Scattered spot visible in the skin and ecchymosis, superficial lymph nodes is not large. Babinski sign positive. Cardiopulmonary (a), liver and spleen not touched. Hemoglobin 80g / L, white blood cells 11.0 × 10 ~ 9 / L, neutrophils 70%, lymphocytes 30%, platelets 35 × 10 ~ 9 / L, the clotting time is normal,