Idiopathic thrombocytopenic purpura with three cases of ischemic colitis.docVIP

 PAGE \* MERGEFORMAT 10 Idiopathic thrombocytopenic purpura with three cases of ischemic colitis Author: WU Li-Qiang Lin Sheng-Yun HU Zhiping Zhou Yuhong 【Key Words】 thrombocytopenic purpura ischemic colitis Idiopathic Thrombocytopenic Purpura (Idiopathic Thrombocytopenic Purpura, ITP) is an immune-mediated thrombocytopenia syndrome, accounting for 30% of hemorrhagic disease is a common hemorrhagic hematological diseases. Ischemic colitis 60 years began to put forward, is a group for various causes a decrease in intestinal blood flow in ischemic disease of the intestinal wall, the lesion may be in the large intestine or small intestine, clinical manifestations were abdominal pain, diarrhea and bleeding, severe intestinal obstruction may occur, intestinal necrosis or toxic shock [1]. ITP complicated by ischemic colitis in clinical practice easier to misdiagnosis, and the bleeding tendency serious acute illness, changes quickly, to take timely and reasonable treatment measures, can rapidly reverse the condition. The author from August 2006 to October 2007 were treated three cases of ischemic colitis complicated cases of ITP reported as follows. A clinical data 1.1 General Information The group 3 patients were female; the average age of 60 years. Clinical manifestations: three cases of patients had abdominal pain, diarrhea, blood in the stool, skin petechia petechiae, two cases of patients with hypertension. 1.2 Laboratory tests Bone marrow megakaryocytes were increased significantly, producing huge reduction plate. 2 cases of patients when the disease platelets (20 ~ 30) × 109 / L, 1 patients to 5.0 × 109 / L. White blood cells were (8.0 ~ 11.0) × 109 / L, hemoglobin 80 ~ 100g / L. 1.3 lesions In 2 cases the whole colon, descending colon in 1 case. 2 pathological data 2.1 Colonoscopy observation 3 cases of patients with intestinal lesions are diffuse congestion and edema, accompanied