Pneumonia, Thrombocytopenia
Conditions
Brief summary
The incidence of thrombocytopenia in ICU patients with severe illness ranged from 8.3% to 67.6%, and ranged from 14% to 44% during ICU treatment.Severe patients with thrombocytopenia also have significantly increased bleeding events and blood transfusions, and even a significantly increased risk of death.This study examines whether elevated platelets benefit patients with pneumonia
Interventions
The dose of rhTPO is 15,000 U per day. The subcutaneous injection will be terminated when PCs are increased to normal. The duration of rhTPO will be 7 days.
Patients in the control group will receive the same amount of saline as a placebo, which is injected subcutaneously. The duration of saline will be 7 days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of pneumonia (community acquired pneumonia, hospital acquired pneumonia or ventilator associated pneumonia); * Voluntarily signed informed consent; * ≥18 years old; * Platelet count ≤75×109/L
Exclusion criteria
* A history of hematopoietic stem cell transplantation or solid organ transplantation such as liver, kidney or lung; * Hematological malignancy; * Immune thrombocytopenia, such as SLE, ITP, TTP, etc. * The length of stay in ICU is less than 24h; * Pregnant or lactation patients;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The time to recovery to a normal platelet level | 14 days | The clinical recovery time of platelets was defined as the time it takes to reach clinical recovery. |