Platelets, 33 x 10^9/L, have many causes, and the severity depends on the etiology. In general, primary immune thrombocytopenia has a better prognosis and is usually not serious; thrombotic thrombocytopenic purpura, which can be controlled with aggressive treatment; aplastic anemia, which is life-threatening in about 30% of patients due to infection and bleeding, is more serious.
In addition, thrombocytopenia caused by malignant blood diseases such as acute leukemia is very serious.
1. Primary immune thrombocytopenia: manifested as bleeding spots or purpura on the skin, bleeding in joint cavities, and even intracranial hemorrhage and internal bleeding, etc. 80%~90% of patients can be cured within six months of the onset of the disease by active treatment, so the prognosis is better, and it is usually not serious. Drugs include prednisone, etc.
2. Thrombotic thrombocytopenic purpura: its recurrence rate is about 30%, most of the disease recurs within one year of the first attack, recurrence of active treatment can still be effectively controlled. Treatment includes plasma exchange.
3. Aplastic anemia: the mortality rate of severe aplastic anemia is high, most of the non-severe aplastic anemia can be alleviated or even cured, only a small number of people will progress. About 30% of aplastic anemia patients die of infection and bleeding. This disease is more serious.
4. Malignant blood diseases: such as acute myeloid leukemia, can cause thrombocytopenia, very serious, need to be promptly given cytarabine, Zoerythromycin and other drugs chemotherapy.
Platelet 33 × 10 ^ 9 / L, there may be other causes, such as systemic lupus erythematosus, etc., it is recommended to consult a doctor in a timely manner to identify the causes, under the guidance of the physician to the cause of the treatment.