初级保健中的止血:入门。

IF 3 4区 医学 Q1 PEDIATRICS
Kevin E Todd
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引用次数: 0

摘要

儿童出血症状引起了家庭和儿科医生的极大关注。本文旨在通过回顾诊断儿童出血性疾病固有的复杂性,强调临床表现的可变性,测试的细微差别,以及常见出血性疾病的各个方面,帮助初级保健提供者评估有出血症状的儿童。在因出血症状和止血筛查异常而转诊的儿科患者中,出血性疾病的发生率仍然不同,在不同的机构中从4%到11%不等。细致的评估——包括家族史、药物回顾和出血严重程度的评估——是识别潜在出血性疾病必不可少的第一步。对于高怀疑指数的患者,我们建议进行筛查测试,包括全血细胞计数,包括血液涂片检查,活化部分凝血活素时间(aPTT),凝血酶原时间(PT),血管性血友病因子(VWF)抗原和活性,以及纤维蛋白原水平。儿科常见出血性疾病包括因子缺乏(包括血管性血友病)和血小板紊乱。初级保健提供者和血液学家之间的协作方法对于优化儿科出血症状患者的预后至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hemostasis in primary care: A primer.

Bleeding symptoms in children create significant concern for families and pediatricians alike. This article aims to assist primary care providers in the evaluation of children with bleeding symptoms by reviewing the complexities inherent in diagnosing pediatric bleeding disorders, emphasizing the variability in clinical presentations, testing nuances, and aspects of common bleeding diatheses. The incidence of bleeding disorders among pediatric patients referred for bleeding symptoms and abnormal hemostatic screening remains variable, ranging from 4 % to 11 % across different institutions. A meticulous evaluation-including family history, medication review, and assessment of bleeding severity-is an essential first step in identifying potential bleeding disorders. In patients with a high index of suspicion we recommend screening testing including a complete blood count including blood smear for review, activated partial thromboplastin time (aPTT), prothrombin time (PT), von Willebrand factor (VWF) antigen and activity, and fibrinogen level. Common bleeding disorders in pediatrics include factor deficiencies (including von Willebrand disease) and platelet disorders. A collaborative approach between primary care providers and hematologists is paramount to optimizing outcomes for pediatric patients with bleeding symptoms.

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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
61
审稿时长
5 days
期刊介绍: Recognized for its probing, comprehensive, and evidence-based reviews, Current Problems in Pediatric and Adolescent Health Care devotes each issue to a timely and practical topic in pediatric medicine, presented by leading authorities in the field. The journal offers readers easily accessible information that enhances professional experience and is pertinent to daily pediatric practice. Each issue''s review article is accompanied by an additional special feature designed to highlight a particular aspect of the topic presented.
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