血液透析治疗对CKD V期患者血小板增多的评价:1例报告

Putu Nindya, Ayu Ningrum Subadra, Wayan Sunaka
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摘要

慢性肾脏疾病(CKD),也被称为肾衰竭,主要影响有高血压和糖尿病病史的人。在这种情况下,滤过率或肾功能会在一个月或一年的时间内下降。一些研究发现CKD患者的促炎细胞因子增加。血小板功能障碍和高反应性与慢性炎症有关。当血小板计数超过45万/升时,发生血小板增多。它也被称为血小板增多症。反应性血小板增多占所有血小板增多事件的80-90%,炎症是最常见的原因之一。我们报告一名67岁男子以发烧和虚弱来医院就诊。患者有CKD V期病史,目前正在接受血液透析治疗。实验室结果显示患者有血小板增多症。需要进一步的检查来确定CKD患者血小板增多的原因。
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Evaluation Thrombocytosis in CKD Stage V Patient on Hemodialysis Treatment : Case Report
Chronic kidney disease (CKD), also known as renal failure, primarily affects people with a history of hypertension and diabetes. In this medical condition, the rate of filtration or kidney function can decrease over the course of a month or a year. Several studies have found an increase in pro-inflammatory cytokines in patients with CKD. Platelet dysfunction and hyperreactivity have been linked to chronic inflammation. When the platelet count exceeds 450,000/l, thrombocytosis occurs. It is also referred to as thrombocythemia. Reactive thrombocytosis accounts for 80-90% of all thrombocytosis events, with inflammation being one of the most common causes. We report a 67-year-old man presenting to the hospital with fever and weakness. The patient had a history of CKD stage V and currently was rceiving hemodialysis treatment. Laboratory finding showed patient had thrombocytosis. Further examination is required to determine the cause of thrombocytosis in CKD patient.
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