What to do if a one year old child has zero platelets

Fresh blood or platelet transfusion: should only be used as an emergency in case of severe bleeding**. Because of the presence of antiplatelet antibodies in the patient's blood, transfused platelets can be destroyed quickly and have a short lifespan (minutes to hours).

Therefore, blood transfusions or platelets are not effective in increasing platelet count. However, platelet transfusion has been suggested to rapidly reduce capillary fragility and reduce bleeding tendency.

Adrenocorticotropic hormones: The efficacy of hormones is generally considered to be due to: reduced capillary permeability and reduced bleeding tendency; It can reduce the immune response, reduce the production of PAIGG and inhibit the phagocytosis of platelets with antibodies by spleen mononuclear macrophages.

Therefore, after early application of a large number of corticosteroids in patients with ITP, the bleeding phenomenon can improve quickly. At present, it is still advocated that patients with moderate or higher disease within 1 month of onset (especially within 2 weeks) or patients with severe disease or more than severe disease despite the onset of disease for a long time should be given**. The principle of medication is early, large, and short-course.

Prednisone 60 mg m2/day (2 mg kg/day) is usually given orally in 2 3 divided doses or once in the morning. If bleeding is severe, prednisone can be given to 120 mg m2/day orally or hydrocortisone 400 mg m2/day or flumethasone 10 15 mg m2/day intravenously, and then changed to prednisone when bleeding improves. Generally, the drug is used for about 3 weeks, and the longest is not more than 4 weeks, and the dose is gradually reduced to discontinuation.

Even if platelets drop after stopping the drug, as long as the bleeding is not obvious, observation can be continued, and no more corticosteroids are used. If extensive bleeding occurs again, corticosteroids** should still be added, and after the bleeding improves, it should be changed to alternate days or maintained with only a small dose so that bleeding does not occur. Beijing Children's Hospital used dexamethasone 1mg kg·d intravenous infusion shock** for children with acute critical illness, and reduced the dose by 1 4 every 3 4 days.

After three weeks, it was changed to prednisone 40 60 mg m2·d orally, and good efficacy was obtained. Long-term use of adrenocorticosteroids should not be avoided. Chronic patients need to take a full dose of medication for 3 to 4 weeks, bleeding can be stopped, the dose can be reduced, and when the platelets rise to 50 109 L, the drug can be stopped for observation.

High-dose gamma globulin static point: For children with severe bleeding or above, high-dose refined gamma globulin (IgG) can also be infused intravenously, about 0 4g kg·d, for 5 days. About 70 to 80 patients can increase the platelet count, especially in chronic patients, who have a tendency to temporarily replace splenectomy.

However, this kind of refined products are expensive and not easy to promote for a while.

Platelets mainly play hemostatic coagulation function, low platelets will have the possibility of spontaneous bleeding, mild is subcutaneous bleeding, that is, **purpura, or gum bleeding, nosebleed, serious visceral bleeding or intracranial hemorrhage, is life-threatening. Your platelets have reached 0, it is very dangerous, you need to be hospitalized**, and after the condition is stabilized, combined with Chinese herbal medicine conditioning can achieve the root cause, can not be delayed, hurry up to **. Dr. Zhang.

Reduce unnecessary exercise, people with low platelets will have blood marks when scratching, whether it is zero or not, you must be careful!! Hurry up and transfuse platelets, the titer of frozen platelets is 70%, fresh is more cost-effective, Xi'an's ** is about 1400 in a belt, I wish you an early **!

Hello, the normal value of platelets is (100-300)x10 9 l.

Guidance: The danger of thrombocytopenia is bleeding. The main causes of thrombocytopenia are: 1Disorders of platelet production, such as aplasia, radiation injury, leukemia, megaloblastic anemia, etc., 2

Excessive platelet destruction or consumption, such as primary thrombocytopenic purpura (ITP), SLE, episensory, rubella, malignant lymphoma, congenital thrombocytopenia. 3.Abnormal platelet distribution, such as splenomegaly (common in cirrhosis, Banti syndrome), diluted blood, and more!

It is recommended that you go to the hematology department for a bone marrow aspirate**! Usually eat more red dates!

Platelets are very low, to solve this problem, you first need to know what is the cause of thrombocytopenia, because **different** methods are also different, I hope the doctor will find out as soon as possible**, the cause ** is the key.

The root cause of this disease is the defect of the body's immune mechanism, and the onset of the immune system is caused by the imbalance of the immune system, which is also known as immune thrombocytopenia in medicine.

There are many predisposing factors for this disease, including chemical poisons, radiation, ionizing radiation, injection vaccines, inflammatory virus infections, drugs, overwork, etc., these factors can only be speculated, and it is not certain what causes them. The important thing is how to cure the root cause and not repeat it, and if it is cured, it will not be affected by any factors and repeated.

The disease is already the result, and it is necessary to grasp it, combined with Chinese herbal medicine, it can be achieved. But a good plan is important.

Hello. Thrombocytopenia is a common infection, aplastic anemia, myelodysplasia, etc. You need to talk to the doctor about what is the cause of your child.

For thrombocytopenia, a high-protein diet should be provided, and milk, lean meat, fish, eggs, legumes and other foods should be used in the diet. Traditional Chinese medicine believes that blood fever is vain, and if hemorrhage is fever, it is advisable to choose cold food. Vegetables and fruits are neutral and cool, which is mostly beneficial to hemostasis, and can be used in dietary meals, especially water chestnuts, lotus roots, camellia, black fungus, pears, fresh dates, etc.

Try to start from nutrition, the basic unit of the human body is cells, and cell health is the real health. You can consider nutritionally. Some basic nutrients plus optimized nutrition. There may be unexpected results.

Thrombocytopenia usually has no clear cause, but it can worsen due to infection. The first choice is hormones**, the course of treatment is at least half a year, and regular follow-up visits to the hospital are required to adjust the dose of hormones.

High leukocytes may be due to hormonal causes, enlistment and other symptoms of infection, which generally do not need to be treated.

Female (101 320) 10 to the 9th power l

Clinical significance. Thrombocytopenia.

1) Decreased platelet production (bone marrow disease, aplasia, megaloblast, pernicious poverty) Bone marrow hematopoietic dysfunction, aplastic anemia, various acute leukemias, myelometastases, myelofibrosis, multiple myeloma, giant hemangioma, pernicious anemia, megaloblastic anemia.

2) Excessive platelet destruction (autoimmune or autoantibody disease, hypersplenism, cardiopulmonary bypass) Autoimmune diseases or antiplatelet-producing autoantibody diseases (systemic lupus erythematosus, idiopathic thrombocytopenic purpura, liver cirrhosis), hypersplenism (all blood cells including platelets are destroyed in the spleen), cardiopulmonary bypass (mechanical injury), etc.

3) Abnormal platelet distribution (splenomegaly), splenomegaly, hemodilution caused by various reasons.

4) Other diseases (disseminated intravascular coagulation and bleeding disorders) Disseminated intravascular coagulation (DIC), paroxysmal nocturnal hemoglobinuria, certain infections (such as typhoid, kala-azar, measles, pre-polyuria of hemorrhagic fever, infectious mononucleosis, miliary tuberculosis and sepsis), bleeding disorders (such as hemophilia, scurvy, obstructive jaundice, Henoch-Schonlein purpura).

5) Medication: Caused by drug poisoning or allergies. For example, chloramphenicol and thionomycin have myelosuppressive effect and can cause thrombocytopenia; Antiplatelet drugs ticlopidine and aspirin can also cause thrombocytopenia; Anticoagulant drugs such as heparin can also cause thrombocytopenia; The use of certain antineoplastic drugs, antibiotics, sulfonamides, and cytotoxic drugs can cause thrombocytopenia.

Thrombocytopenia Chinese medicine** can cure it very dangerously.

Go to the hematology department**! Whether it can be cured or not depends on what kind of disease! Of course it's dangerous, critically ill!

Hello, the platelet value must be close to the normal range before birth, so as to ensure the safety of the mother during childbirth, and ensure that the mother will not lose more blood than the mother;

It is recommended that the finch is slow first, and it is best to recuperate for about half a year after the condition, and the pillow body vitality is better in all aspects before pregnancy.

Analysis: Hello, the platelet number constant is 100 300, more than 400 is called platelet increase. There are two reasons for this: 1

Essential hyperplasia is seen in myeloproliferative disorders such as chronic myeloid leukemia, polycythemia vera and essential thrombocythemia, and myelofibrosis in the early stages.

Guidance: 2: Secondary (reactive) thrombocythemia:

The most common causes are hemorrhage, histoinflammation and necrosis, malignant tumors, iron deficiency, post-splenectomy, Chuanqi disease, etc. Based on your description, further testing is recommended to confirm the diagnosis of ** against **,