Falcón-Chévere Jorge L, Cabañas Jose G
University of Puerto Rico School of Medicine, Emergency Department.
Bol Asoc Med P R. 2007 Oct-Dec;99(4):318-22.
Bleeding emergencies are common chief complaints in visits to the Emergency Department (ED) but hemophilia, a rare congenital bleeding disorder requires immediate treatment. Hemophilia B is characterized by a deficiency of coagulation Factor IX. As emergency medicine physicians we must be prepared to deal with such emergencies. One of the most feared complications in this population is the spontaneous or post-traumatic development of intracranial hemorrhage (ICH). We present a case of a 69 year-old man with a past medical history of hemophilia B who presented to the emergency department after suffering a head trauma with development of acute and delayed ICH.
出血性急症是急诊室（ED）就诊时常见的主要主诉，但血友病这种罕见的先天性出血性疾病需要立即治疗。B型血友病的特点是凝血因子IX缺乏。作为急诊医生，我们必须做好处理此类急症的准备。该人群最令人恐惧的并发症之一是颅内出血（ICH）的自发或创伤后发生。我们报告一例69岁男性，有B型血友病病史，在头部外伤后出现急性和迟发性ICH并就诊于急诊科。
