一项评估血小板减少症病因病理学特征的前瞻性研究及其在不同年龄组和性别之间的比较

Akansha Sharma, Jaipur Rajasthan India Attached J.K. Lon Hospitals, Ashwini Gupta
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摘要

背景:血小板紊乱是常见的临床问题,可能导致严重出血发作,需要输血或住院治疗。目前的研究重点是确定血小板减少症的病因病理学特征,血小板减少症是一种定量的血小板紊乱。研究对象和方法:本研究的数据来自斋浦尔Santokba Durlabhji医院的100名患者,通过详细的病史记录、临床检查和相关调查,使用专门为本研究设计的表格进行评估。取EDTA血样测定CBC、Hb、APC,取1:9稀释的柠檬酸血测定PT和PTTK。结果:在我们的研究中,积斑、瘀斑和脓肿的发生率与年龄组无关,而出血和呕血的发生率与年龄组有关。通过Pearson卡方检验,我们得出p值显著(p<0.05)的结论,从而支持本研究的基础,即各种病因导致的血小板减少症在不同年龄组的发病率存在差异。本研究男女比例为2.12:1。结论:本研究为血小板减少症的主要病因提供了坚实的知识,并形成了广泛的鉴别诊断。目前的研究推断,不同的病因可归因于特定的年龄组。此外,血小板减少症的不同表现也因年龄组而异。
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A Prospective Study to Evaluate the Etiopathological Profile Represents the Various Causes of Thrombocytopenia and Their Comparison among Different Age Groups & Sex
Background: Platelet disorders are commonly encountered clinical problems that may lead to severe bleeding episodes requiring transfusion or hospitalization. Present study is focussed on determining etiopathological profile of thrombocytopenia which is a quantitative platelet disorder. Subjects and Methods: The data for this study was collected by 100 patient evaluation was done by detailed history taking, Clinical examination and relevant investigations using a proforma specially designed for this study in Santokba Durlabhji Hospital, Jaipur. EDTA blood samples were taken for CBC, Hb, APC, estimation and citrated blood in 1:9 dilution were taken for PT & PTTK estimation. Results: In our study incidence of petechiae, ecchymosis & malena was does not depend on age group, but epistaxis & Haemetemesis depends on age group. Here using Pearson Chi-Square test we conclude p value to be significant (p<0.05) thus supporting the basis of this study that incidence of various etiologies of thrombocytopenia varies according to age group. Male & female ratio was 2.12:1was seen in this study. Conclusion: This study is to provide a firm knowledge of the major causes of thrombocytopenia and to form a broad differential diagnosis. Present study infers that various etiologies can be attributed to specific age groups. Moreover different manifestations of thrombocytopenia also vary according to age group.
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