关键词: 人类免疫缺陷病毒, 紫癜，血栓性血小板减少性, 意识障碍, 护理

Abstract:

To summarize the nursing experience of a patient with HIV-related thrombotic thrombocytopenic purpura. Nursing key points：establishing a multidisciplinary care team centered on the AIDS department as the core to implement whole-process management；collaboratively handling plasma exchange and immune regulation therapy to reduce bleeding risk；quickly initiating and optimizing anti-retroviral therapy to improve patient prognosis；implementing multi-dimensional infection prevention and control measures within the hospital to ensure the safety of medical staff and patients；practicing phased guidance to enhance patients’ psychological adaptability. After careful treatment and nursing care，the patient was discharged successfully after 25 days，and continued to be followed up in the outpatient department for 3 months，showing good recovery.

Key words: Human Immunodeficiency Virus, Purpura，Thrombotic Thrombocytopenic, Consciousness Disorder, Nursing Care