大量腹腔内出血を来たした肝硬変症に合併した特発性血小板減少性紫斑病の1例

概要

論文の詳細を見る
A case of ITP associated with hepatic cirrhosis with massive intra-abdomianl bleeding was reported. Peritoneoscopy performed on the fifty-fourth hospital day demonstrated a little dark bloody ascites and a small vein with blood clotting at the dome of diaphragm. However, any cause of bleeding could not be found in the abdominal cavity in spite of full peritoneoscopic examination. Examination of the bone marrow showed a marked hyperplasia of megakaryocytes and decreased production of platelets. This bone marrow picture consisted with that of ITP. Shortly after steroid therapy was started, platelet count became within the normal range. Hepatic cirrhosis and ITP in this case was suggested to be a fortuitous association. In hepatic cirrhosis with marked thrombocytopenia without anemia and leucocytopenia, ITP should be always in our mind, and exact examination and treatment should be done.
北里大学の論文
1986-06-30