推荐回答(5个)
根据你所描述的情况你弟弟好象有临床上血小板减少性紫癜症的症状。这种疾病主要是血液中血小板计数低于正常值,并伴有血小板周期性减少。 血小板减少是否会出血,取决于两个方面:一是血小板减少的程度;二是个体差异。正常人血小板的数量为10-30万。一般情况下,血小板轻度减少为8-10万时,不会自发性出血,血小板中度减少5-8万时,可有轻度自发性出血,如皮肤粘膜有出血点,轻微创伤后出血不止,女性月经量增多等。重度血小板减少为5-7万,大多数会出现较明显的自发性出血,最常见的为皮肤紫癜。若血小板减少在2万以下,则会增加颅内出血,消化道大出血的危险性。但在临床工作中,患者在血管通透性及出血耐受性方面存在很大的差异,有些患者血小板在5万左右就会出现广泛的皮下瘀血,而有些患者血小板只有2万,甚至更低也无任何出血表现。尽管如此,血小板过低仍然存在一定的危险性,应高度警惕,进行特别护理,预防出血。
还是应该尽快带你弟弟到专业医院去彻底全面的检查治疗一下!!!!不要再拖了!!
血小板减少的原因可分为:
(1) 血小板生成减少或无效死亡:包括遗传性和获得性两种,获得性血小板生成减少是由于某些因素如药物,恶性肿瘤,感染,电离辐射等损伤造血干细胞或影响其在骨髓中增殖所致。这些因素可影响多个造血细胞系统,常伴有不同程度贫血,白细胞减少,骨髓巨核细胞明显减少。
(2) 血小板破坏过多:包括先天性和获得性两种。获得性血小板破坏过多包括免疫性和非免疫性。免疫性血小板破坏过多常见的有特发性血小板减少性紫癜和药物血小板减少。非免疫性血小板减少破坏过多包括感染,弥漫性血管内凝血,血栓性血小板减少性紫癜等。
(3)血小板在脾内滞留过多:最常见于脾功能亢进。
血小板减少不外有两种原因:(1)血小板生成减少(2)血小板破坏过多。最常见的有血小板减少的原因
骨髓生成血小板不足
白血病
再生障碍性贫血
阵发性睡眠性血红蛋白尿
酗酒
巨幼细胞贫血
某些骨髓疾病
血小板滞留在肿大脾脏中
肝硬化伴充血性脾肿大
骨髓纤维化
戈谢病
血小板被稀释
大量输血或血液置换(贮存血中血小板很少)
体外循环手术
血小板消耗或破坏过多
特发性血小板减少性紫癜
HIV感染
输血后紫癜
某些药物如肝素、奎宁、磺胺类抗菌素、一些口服
糖尿病用药、金制剂、利福平等
新生儿慢性白血病
淋巴瘤
系统性红斑狼疮
建议你及时做骨穿以明确病因,给以对症治疗。祝早日康复!
小板减少如何食疗?
外周血中血小板计数低于正常者,称为血小板减少。临床表现主要是皮肤粘膜出血症状,如紫癜、牙龈出血、呕血、黑便、血尿等。本病在祖国医学中属“血症”、“发斑”、“虚劳”等范畴,在治疗上急性期以清热解毒、凉血化瘀为主;慢性期主要健脾理气、补益气血为主。 血小板减少的食疗可选用:
小蓟15克、红糯米50克。小蓟 煎汽取汁,以药汁煮红糯米成粥,粥成后加红糖适量服食。
功效:解毒消痈、凉血止血。用于急性期的食疗。
犀牛角或水牛角15克,红糯米50克,将犀牛角或水牛角水煎30分钟取汁,以汁与红糯米共煮成粥,粥成后加红糖适量。
功效:清热、凉血、解毒。用于急性期的食疗。
荠菜250克。洗净,用开水焯后取出,切细,用以拌豆腐,加盐,味精,香油等调料服食,用于急性期食疗。
仙鹤草20克,红糯米50克。仙鹤草先煎取汁,入红糯米煮粥,粥成后加适量红糖服食。
功效:补虚止血、用于慢性期食疗。
牛骨髓50克,红糯米100克,同煮成粥,粥成后加适量盐、味精及葱、姜末。
适用于慢性期食疗。
首先告诉我你弟弟多大了,尽量找认识的医生查查,这是白血病的征兆,也可能不是,不认识的医生要不给红包就给你瞎看,病情也瞎说,最后就是你的病情耽误了最佳治疗期
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