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周围手术静血预防和未知原因的出血障碍的结果
Callie Berkowitz1, Alice Ma1, Vanessa Miller2
1Division of Hematology and Blood Research Center, University of North Carolina, Chapel Hill, North Carolina, USA.
Research and practice in thrombosis and haemostasis
|November 5, 2024
概括
患有原因不明的出血障碍 (BDUC) 的患者在手术期间使用静血预防时,出血并发症发生率较低. 然而,预防产后出血仍然是一个挑战.
科学领域:
- 血液学 血液学 血液学
- 内部医学 内部医学
- 产科 产科 产科 产科 产科
背景情况:
- 原因不明的出血障碍 (BDUC) 是一种诊断类别,用于患有出血症状但没有可识别的静血异常的患者.
- 在接受侵入性手术或分娩的BDUC患者中,血静的最佳管理尚未得到充分证实.
研究的目的:
- 描述周围手术静血预防的策略.
- 为了评估BDUC患者的出血结果.
主要方法:
- 在两个学术医疗中心进行了回顾性队列研究.
- 在成年BDUC患者手术程序和分娩的分析.
- 审查注册数据和医疗病历.
主要成果:
- 分析了127名BDUC患者 (平均年龄为39.9岁,91.3%为女性).
- 在57%-67%的手术和分娩中,建议使用抗纤维解质单疗法.
- 大型或临床相关的出血发生在4.1%的手术中,有预防,而没有预防的比例为10%.
- 产后出血发生在26%的分娩中.
结论:
- 在BDUC患者的血液静止预防过程中,并发症率较低.
- 对于BDUC患者的分娩和妇科手术中的出血预防仍然是一个未满足的需求.
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