快速治疗单纯性紫癜.docVIP

　　单纯性紫癜概述 　　单纯性紫癜(simple purpura)是常见的、不明原因的血管性出血性疾病。临床特点为皮肤细小的瘀点及大小不等的瘀斑，常见于下肢及臂部，反复发作，自行消退，病程较长，以女性多见。 　　单纯性紫癜病因 　　发病原因 　　病因不明，发病可能与下列因素有关： 　　1.可能是一种毛细血管壁异常引起的出血性疾病; 　　2.多见于青年女性和儿童，易发作于月经期，推测是否与雌激素增多、毛细血管通透性增加有关; 　　3.血小板功能异常可能是其病因之一; 　　4.约1/3患者有抗血小板抗体阳性,可能与自身免疫有关。 　　发病机制： 　　可能与毛细血管壁异常和血小板功能障碍有关。 　　病理生理 　　本病的发病机制可能与毛细血管壁异常和血小板功能障碍有关，后者部分病人可有ADP、肾上腺素诱导的血小板聚集反应异常，少数可出现血小板对璃珠粘附率降低，抗血小板抗体阳性。某些病人也可能为常染色体显性遗传所致，称为家族性单纯性紫癜。 　　中医理论 　　本病以出血症状，特别是皮肤出血斑及出血点为主，故其属于“紫斑”的范围。在《内经》这一医籍中对血的生理和病理有较深刻的认识，如《素问.痹论》说：“营者，水谷之精气也，和调于五脏，洒陈于六腑，乃能人于脉也，故循脉上下，贯五脏六腑也”。其中的“营”，指的就是“血液”。《医宗金鉴.失血总括》中指出：“皮肤出血曰肌衄”。 　　对于本病的发病机制，《外科正宗.葡萄疫》说：“感受四时不正之气，郁于皮肤不散，结成大小青紫斑点，色若葡萄……”。朱丹溪认为发斑主要由热盛所致，《丹溪手镜.发斑》说：“发斑，热炽也”。至于发病部位，《医宗金鉴.外科心法.葡萄疫》中对发病部位有了明确的认识：“发于遍身，惟腿胫居多”。北京燕都医院电话：400-6628-228 010京燕都医院北京燕都医院地址:北京石景山莲芳桥鲁谷大街燕都医院 County economic work conference leadership speech:The main task of the twenty-six session of the six plenary meeting of the county the county economic work conference this time, by the partys eighteen and eighteen Third Plenary Session of the spirit as a guide, carry out and implement the central and provincial economic work conference on rural work conference and the three session of the seven plenary session of the party to expand the spirit of the meeting, the total summary of last year the work, analysis of the current situation, the deployment of this work, further strengthening the development of consensus, to mobilize the whole county county, deepening reform and innovation, to work against poverty, accelerate the transformation of leapfrog, promote scientific development, struggling to write a new harmonious beautiful mountains and show a prosperous civilization to build a new building. The following chapter * *, according to the county Discussion of the views of the Standing Committee, I focus on four aspects of the problem:* * * years, the county to seriously implement the central decision-making arrangements and real, in accordance with the high position, as a typical tre