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甲亢是常见的内分泌疾病,可累及全身各系统,在血液学方面可并发贫血、白细胞及血小板减少。本文复习文献并报道3例甲亢并发特发性血小板减少性紫癜(ITP)。病历摘要例1:女,32岁。心悸、多汗2个月,鼻衄、下肢紫癜20天于1967年入院。查体:甲状腺弥漫性肿大,有震颤及血管杂音。心肺未见异常,肝脾未及。血小板1~7万/mm~3,基础代谢率(BMR)+61%。骨髓增生明显活跃,全片巨核细胞19个,以颗粒型为
Hyperthyroidism is a common endocrine disease that can affect the body’s various systems, hematology can be complicated by anemia, white blood cells and thrombocytopenia. This article review the literature and reported 3 cases of hyperthyroidism complicated with idiopathic thrombocytopenic purpura (ITP). Case history summary 1: Female, 32 years old. Palpitations, sweating 2 months, epistaxis, purpura lower limbs 20 days in 1967 admitted to hospital. Physical examination: diffuse thyroid enlargement, tremor and vascular murmur. Heart and lung no abnormalities, liver and spleen not yet. Platelets 1 to 70,000 / mm ~ 3, basal metabolic rate (BMR) + 61%. Significantly active bone marrow hyperplasia, monolithic megakaryocytes 19 to particle type