合并原发性血小板减少性紫癜的外伤性颅内血肿四例（Traumatic intracranial hematoma complicated with primary thrombocytopenic purpura report of four cases）.docVIP

合并原发性血小板减少性紫癜的外伤性颅内血肿四例（Traumatic intracranial hematoma complicated with primary thrombocytopenic purpura report of four cases） Traumatic intracranial hematoma complicated with primary thrombocytopenic purpura: report of four cases Update: 2010-08-04 Dengji Yang Huawan Wu Ruoqiu Liu Jian Liu Chuangxi Since the application of CT, the diagnosis of traumatic intracranial hematoma is not difficult, and the therapeutic effect is satisfactory. However, traumatic intracranial hematomas combined with primary thrombocytopenic purpura (primary, thrombocytopenic, purpura, PTP) are rarely reported and are difficult to handle. The diagnosis and treatment experience of 4 cases of traumatic intracranial hematoma with PTP in our hospital from December 1984 to December 1996 were reported as follows. clinical data Case 1, female, 64. He was admitted to the hospital 2 hours after an accident. The patient was knocked down by a car and left injured on the left occiput. He was unconscious and rushed to our hospital. He vomited the contents of his stomach. CT scan showed contusion of right frontal temporal brain and subdural hematoma. A history of PTP for 6 years. Immediately after admission to the hospital to stop bleeding, the use of hormones, dehydration and other treatment. The platelet count was 50 * 109/L. 3 hours after admission, the patient became more conscious and the right pupil dilated gradually. Emergency evacuation of the left frontal bone window craniotomy under general anesthesia was performed. The contusion of the frontal and temporal lobes was found, and the hematoma was about 60ml. Intraoperative bleeding was about 1 500ml and transfusion 1 200ML. Fifth days after operation, the patient died of massive hemorrhage of digestive tract. Case 2, female, 48. Because of repeated skin and mucous membrane bleeding, 3 years stay in our hospital blood medicine, diagnosis: PTP. During the treatment of patients with dizziness, headache aggravated gradually, after consultation I MRI