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影响伴有抑制物抗体的血友病患者止血剂选择的因素。

Factors affecting choice of hemostatic agent for the hemophilia patient with an inhibitor antibody.

作者信息

Monahan Paul E, Aledort Louis M

机构信息

Department of Pediatrics, University of North Carolina at Chapel Hill, North Carolina, USA.

出版信息

Am J Hematol. 2004 Dec;77(4):346-50. doi: 10.1002/ajh.20204.

Abstract

Achieving adequate hemostasis in patients with hemophilia and high-titer inhibitor antibodies remains a challenge despite the development of plasma-derived and recombinant therapies to bypass the inhibitory effect. A group of hemophilia treaters met to examine the factors that influence physician choices among the very costly and cumbersome available therapies. Specific knowledge deficits in need of prospective research were identified with respect to the rational treatment of inhibitor patients.

摘要

尽管已经开发出了血浆源性和重组疗法来绕过抑制作用,但在血友病和高滴度抑制性抗体患者中实现充分止血仍然是一项挑战。一组血友病治疗专家齐聚一堂,探讨影响医生在非常昂贵且繁琐的现有疗法中做出选择的因素。针对抑制物患者的合理治疗,确定了需要前瞻性研究的具体知识空白。

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