How is ITP treated and how many types of treatment are there for ITP? ITP is a benign disease in the hematology department and is treated differently than malignant diseases. ITP requires treatment based on whether the disease is life-threatening to the child, weighing the relationship between the disease and the side effects of treatment. There are several treatment options for ITP: 1. Watch and wait treatment. This depends on the value of the child’s platelets. If there are no other secondary factors, simple thrombocytopenia can be watched and waited for. For example, if the child’s platelets are 50×109/L to 60×109/L, mild thrombocytopenia with no other symptoms can be observed and waited for; 2. Treatment is based on the child’s bleeding. If the child’s platelets are particularly low, less than 20×109/L to 30×109/L, according to whether the child has bleeding symptoms, if there is bleeding from the skin mucosa and blood blisters in the mouth, then treatment is needed to prevent the child from having intracranial bleeding, gastrointestinal bleeding, urinary bleeding, etc. 3. First-aid treatment. If the child’s bleeding is life-threatening, emergency treatment is required. Platelet transfusion is required to quickly increase the child’s platelet count. However, in the case of non-life-threatening bleeding, platelet transfusion is not recommended for children with ITP because platelet transfusion not only rapidly destroys immunity, but also stimulates the body to produce a stronger immune response. What drugs are used in the treatment of ITP? The drugs used for the basic treatment of ITP are divided into first-line, second-line, and third-line drugs. First-line therapy is the treatment with the least side effects and the greatest benefit to the child. There are two types of drugs currently used, one is gammaglobulin and the other is glucocorticoids. When first-line treatment is not effective, second- or third-line drugs are then used. Which drug is preferred between glucocorticosteroid and gammaglobulin treatment? The choice of drug depends on the child’s condition. If the child’s platelets are particularly low, below 10 x 109/L, gammaglobulin therapy is preferred and can raise the platelets rapidly. However, ITP is a persistent disease and the immune system does not recover quickly. Proglobulin is an emergency drug and is only used in more severe thrombocytopenia. In general, glucocorticoids are preferred.