This female patient, who lives in Jiangpu, is 41 years old and began to experience increased menstrual flow and bleeding when brushing her teeth more than 10 years ago, accompanied by severe thrombocytopenia, and her condition gradually worsened. After numerous examinations at several major hospitals in Nanjing, including bone marrow aspiration, she did not come up with a complete diagnosis, and some hospitals recommended surgery while others suggested conservative treatment, which made her very confused and gradually lost her confidence in treatment. In recent years, her condition has gradually worsened, and her platelets are less than one tenth of normal, so she may have a hemorrhage in the abdominal organs at any time, and her life is in danger, and she can only be maintained by platelet transfusion, which costs more than one thousand yuan a time and can only last for two weeks. I opened her thick medical records, listened carefully to the patient’s account, and decided to treat her for this persistent disease because of my responsibility as a doctor to save lives. In fact, I knew very well in my heart that this patient’s condition was very complicated and that surgery would be very risky, and that she might not be able to get off the operating table if she was not careful. But surgery was the only treatment method. After reviewing a large amount of domestic and foreign literature, it turned out that the patient was a very rare blood disease called thrombocytopenic violet epilepsy, and the patient was a seriously ill patient, which could only be treated by surgery with great risk. The medical department organized a hospital-wide expert discussion, and more than 20 expert doctors from the medical-surgical anesthesiology department and collaborating departments attended the meeting to discuss the intra-operative and post-operative treatment plans and develop an optimal treatment plan. Through an operation lasting more than four hours, the diseased spleen was successfully removed for the patient. The patient’s platelets rose to the normal range on the second day after the operation, and the patient recovered and was discharged on the tenth day after the operation, and all blood indicators were normal through a follow-up of more than two months.