Patient's question:
From the discovery of high platelet count in 2011 to the present, the highest count has been 519. There are usually no symptoms, occasionally a feeling of dizziness and headache, and the lips are very red. Multiple blood tests have shown counts around 300. In our city hospital, a bone marrow aspiration and biopsy were performed, with good sampling, excellent staining.1. Bone marrow activity is active, with a granulocyte-to-erythrocyte ratio of 2.00:1.
2. Granulocyte series shows active proliferation, accounting for 52%, with normal ratios and morphology in all stages.
3. Erythrocyte series shows active proliferation, accounting for 26%, with no abnormalities in ratios or morphology in all stages.
4. Lymphocytes account for 20%, with normal cell morphology.
5. Circulating around the ring, 52 megakaryocytes were observed, with platelets easily visible in clusters.
6. No special cells or parasites were found.
Opinion: Proliferative features.
Doctor's answer:
Hello, based on the child's symptoms, it is idiopathic thrombocytosis. There is no very effective treatment method for it. It is recommended to drink more water, take oral blood-activating and blood-stasis-removing medicine, and take Panax notoginseng tablets for treatment. There are many causes of pediatric blood diseases. If the child is confirmed to have a pediatric blood disease, parents need to cooperate with the doctor to start treatment immediately, cooperate with gastrointestinal decompression, and develop good hygiene habits. The child needs a reasonable diet and should avoid stimulating and cold foods.