TTP 血液科叶洁瑜.pptVIP

Hemorrhagic Disorder Ye Jieyu Department of Hematology Nanfang Hospital My God !! T39.5℃， Twitching! Gnathospasmus! Hyperemesis! Nervous system disease: infection? lumbar puncture CT scan CT scan: Normal Nervous system infection? cerebrospinal fluid(CSF): Normal × What ?! PLT 10G/L，HGB 86g/L Purpura! Anemia! Evans Syndrome? Hemolytic exam Auto-antibodies exam ITP? Hemolytic exam Bone marrow aspiration DIC? Coagulation exam What will be suspect? Hemolytic exams Hams test (-) Surcose hemolytic test (-) Heat hemolytic test (-) Coombs test (-) Auto-antibodies exams Negati