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The Value of Routine Bone Marrow Examination for the Diagnosis of Idiopathic Thrombocytopenic Purpura in Adults

Author: ALiZuo·AiKeMu
Tutor: HaLiDa·YaSen
School: Xinjiang Medical University
Course: Internal Medicine
Keywords: Idiopathic thrombocytopenic purpura Acute leukemia Bone marrow Bone marrow biopsy
CLC: R554.6
Type: Master's thesis
Year: 2011
Downloads: 25
Quote: 0
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Abstract


Objective To determine the initial diagnosis in clinical the ITP or preliminary diagnosis of ITP patients of other diseases , bone marrow biopsy to determine the diagnostic value of the disease but do not rule out . Data Selection of cases for the period February 2002 to August 2009 , the First Affiliated Hospital of Xinjiang Medical diagnosis of hospitalized patients for ITP or simply thrombocytopenia 112 patients . Methods A retrospective analysis based on the consistency of the bone marrow aspiration result of the inclusion criteria selected 112 patients with clinical preliminary diagnosis discussion for these patients , bone marrow biopsy to rule out some other important diseases cause thrombocytopenia , to determine bone marrow aspiration check the value of the diagnosis of ITP . The results of this study show that , inclusion criteria , 97.3% of patients with bone marrow report results with ITP typical bone marrow as consistent , and determine the diagnosis of ITP , and a small number of patients with bone marrow as myeloproliferative reduce , but these patients did not appear other cell lines to reduce the clinical features consistent with the diagnosis of ITP . And 2.8 % of patients initially diagnosed as ITP, but the Guchuan diagnosis of hematopoietic malignancies , does not meet the diagnosis of ITP . Conclusion preliminary clinical diagnosis of ITP and pure performance peripheral blood change the adult no other specific signs (lt; 60 years old ) patients , bone marrow biopsy is not necessary .

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CLC: > Medicine, health > Internal Medicine > Blood and lymphatic system diseases > Blood diseases > Hemorrhagic disease > Purpura
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