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原发性血小板减少性紫癜(ITP)是一种常见疾病,具有自身免疫性血小板破坏的特点.皮质类固醇可使大部分病人的血小板增加,但只有<10%的成人 ITP 可获完全缓解或用可耐受的小剂量维持足够的止血功能。大多数有症状的 ITP 病人需做脾切除,其中约2/3有效。有心肺疾患的老年病人脾切除合并症发生率高。作者报道用小剂量脾区照射治疗老年性免疫性血小板减少症的情况。病人和方法 19例 ITP,男9例、女10例,平均年龄77(52～92)岁。其中11例为慢性 ITP,8
Primary thrombocytopenic purpura (ITP) is a common disease characterized by autoimmune platelet destruction, corticosteroids increase platelet count in most patients, but only <10% of adult ITPs are completely relieved or used Small doses that are tolerable maintain adequate hemostatic function. Most symptomatic ITP patients require splenectomy, of which about two-thirds are effective. Elderly patients with cardiopulmonary disease splenectomy complications high incidence. The authors report the treatment of senile immune thrombocytopenia with a small dose of spleen irradiation. Patients and Methods 19 cases of ITP, 9 males and 10 females, mean age 77 (52 ~ 92) years old. Eleven of them were chronic ITP, 8