初级保健中的血液静止:一个初级基础.
1Department of Pediatric Hematology/Oncology, Children's Hospital of the King's Daughters, Norfolk, VA, USA.
概括
评估儿科出血症状需要仔细评估家族病史和出血严重程度. 早期诊断出像·维勒布兰德病这样的出血障碍对于有效治疗至关重要.
科学领域:
- 儿科血液学 儿科血液学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 儿童出血症状引起了家庭和儿科医生的重大关注.
- 诊断儿科出血障碍由于不同的临床表现和测试细微差别而存在复杂性.
研究的目的:
- 为了指导初级保健提供者评估患有出血症状的儿童.
- 审查诊断复杂性,测试和儿科常见的出血诊断.
主要方法:
- 细致的患者评估,包括家族病史,药物检查和出血严重程度评估.
- 推的查测试:全血细胞计与血液涂抹,激活的部分血栓形成时间 (aPTT),前列血时间 (PT),·维勒布兰德因子 (VWF) 抗原和活性,纤维素原水平.
主要成果:
- 在有出血症状和异常血静查的儿科患者中,出血障碍的发生率各不相同 (4-11%).
- 常见的儿科出血乱包括因子缺陷 (例如,·威尔布兰德病) 和血小板乱.
结论:
- 彻底的初步评估对于识别儿童潜在的出血障碍至关重要.
- 初级保健提供者和血液学家之间的协作方法对于最佳的患者结果至关重要.
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