For young and healthy patients who are at low risk of blood clots or bleeding, sometimes we give aspirin and monitor the platelet counts.

对于血栓形成或出血风险较低的年轻、健全患者，可以用阿司匹林并监测血小板计数。

When the risk of blood clots is high, therapy usually involves lowering the platelet count by using medications like hydroxyurea, interferon-alpha, and anagrelide.

当血栓形成风险较高时，治疗通常包括用羟基脲、α干扰素和阿那格雷等药物来降低血小板计数。