How to treat immune thrombocytopenia

The treatment of immune thrombocytopenia includes drug therapy, surgery, plasma exchange, etc.

1. Drug therapy Glucocorticoid

is the first choice for the treatment of immune thrombocytopenia, suitable for platelet count ≤30×10^9/L, and there is severe bleeding or bleeding risk, or there are obvious fatigue symptoms. Prednisone is generally the first choice for oral administration, and gradually reduced to discontinuation after effective treatment. For patients with glucocorticoid therapy or contraindications, immunosuppressants, including vincristine, cyclophosphamide, cyclosporine A, etc., can be considered

. 2. Surgical treatment such

as splenectomy, for patients with glucocorticoid therapy ineffective or dose-dependent, can reduce spleen damage to platelets, thereby increasing platelet count.

3. Plasma exchange

can promptly eliminate autoantibodies, and can also update other components in the blood. The effect of immune thrombocytopenia is relatively good.