鉄剤静注により血小板減少をきたした症例の臨床的検討

Recently it was reported that the pathogenesis and the responsibility to patients with iron deficiency anemia by iron medicine administrations were differently indicated respectively. What’s more there were recognized the various responses for bone marrow on secondary hyperthrombocytosis to depend on iron deficiency anemia. This time, in a reverse way, it was admitted the improvement of iron deficiency and thrombocytopenia, besides the discontinuance of iron administrations were slightly woken out of the aggravation of iron deficiency anemia and increased thrombocyte. The responsibility of erythropoietin to target organs were differentiated by the situations of severe anemia, the durations of hypoxia and complicated diseases. The diversity of it’s responsibility to bone marrow, liver and spleen were admitted, moreover on this results of iron administration for iron deficiency anemia peripheral blood platelet and blood Hb concentration was negative correlation, but that’s decreasing rate（%）and iron administration dose was positive correlation. While on the patients with renal failure erythropoietin administration were not uniformed in counts of platelet and Hb concentration. On these effects it was thought that each of the pathogenesis and the responsibility of thrombopoietic cytokines to target organs were disagreed respectively.