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何杰金病(简称HD)伴脾亢、骨髓肿瘤细胞浸润,化疗或放射治疗时可出现血小板减少症,但HD合并免疫性血小板减少性紫癜(简称ITP),国内尚未见报道,本院曾收治1例,报道如下。病例谭某,男,28岁。1986年10月9日入院。患者二周来牙龈出血,大便微黑,四肢及胸部皮肤有瘀斑。1983年7月因患 HD(结节硬化型,病理证实)住本院经用AOP方案两个疗程,获临床缓解,于同年9月出院。次年1月及1985年4月因 HD复发及巩固治疗先后2次住某肿瘤医院,85年8月出院缓解至今。体检:双臂及两下肢皮肤可见散在出血点、大小不等。实验室检查:血小板10×10~9/L,出血时间1分。24小时血块收缩不良,血浆纤维
Hodgkin’s disease (HD) with hypersplenism, bone marrow tumor cell infiltration, chemotherapy or radiation therapy may occur thrombocytopenia, but HD combined with immune thrombocytopenic purpura (ITP), has not been reported in China, the hospital had One patient admitted, reported as follows. Case Tanmou, male, 28 years old. October 9, 1986 admission. The patient had gum bleeding for two weeks, dark stool, and ecchymosis on the extremities and chest. July 1983 due to suffering from HD (nodular sclerosis, pathology confirmed) live in our hospital with AOP regimen two courses, clinical remission, was discharged in September the same year. The next year in January and 1985 April due to HD recurrence and consolidation therapy has 2 live in a tumor hospital, 85 years of August discharged so far. Physical examination: the arms and lower extremity skin scattered bleeding points, sizes. Laboratory tests: Platelets 10 × 10 ~ 9 / L, bleeding time 1 minute. 24 hours Clot systolic dysfunction, plasma fibers