Should platelet transfusion be used to treat low platelet count in blood routine?

Whether platelet transfusion therapy is needed for low platelet count in blood routine depends on the specific condition. thrombocytopenia may be related to factors such as infection, drug reactions, and blood diseases. If the platelet count is below 20 × 10 ⁹/L or accompanied by active bleeding, infusion is usually required; If there is no obvious bleeding tendency and the count is above 30 × 10 ⁹/L, it can generally be treated through medication and observation. Platelet transfusion is mainly used for emergency correction of bleeding risk caused by severe thrombocytopenia. When patients have life-threatening bleeding conditions such as intracranial hemorrhage, gastrointestinal bleeding, or require surgical intervention and platelet count is below 50 × 10 ⁹/L, platelet transfusion is a necessary treatment method. For patients with immune thrombocytopenia, it is necessary to combine glucocorticoids such as prednisone acetate tablets and intravenous immunoglobulin for etiological treatment. In non emergency situations, mild thrombocytopenia can be promoted by oral platelet boosting drugs such as etoposide tablets and recombinant human thrombopoietin injection. Thrombocytopenia caused by bone marrow suppression requires treatment of the underlying disease, such as in patients with aplastic anemia who can be treated with cyclosporine soft capsules combined with anti thymocyte globulin. Thrombocytopenia caused by chronic liver disease requires improvement of liver function and supplementation with vitamin K1 injection if necessary.

Avoid vigorous exercise and external injuries in daily life, use a soft bristled toothbrush to reduce the risk of gum bleeding, and avoid eating hard and overheated food. Regularly monitor changes in platelet count. If there are symptoms such as increased skin bruising, nosebleeds, or hematuria, timely follow-up should be sought. Platelet transfusion carries the risk of allergic reactions and transfusion related infections, and the indications must be strictly controlled.