Silver Robert M, Major Heather
Department of Obstetrics and Gynecology, University of Utah Medical Center, Salt Lake City, Utah, USA.
Clin Obstet Gynecol. 2010 Mar;53(1):252-64. doi: 10.1097/GRF.0b013e3181cef930.
Disorders of coagulation are relatively uncommon as a sole cause of postpartum hemorrhage. Coagulation disturbances should be suspected in patients with a family history of such abnormalities and patients with a history of menorrhagia. Clinical circumstances may also suggest coagulation defect as a cause of postpartum hemorrhage. Diagnosis of a coagulation disorder often requires a high index of suspicion and should not be overlooked in the evaluation of obstetric hemorrhage.
凝血障碍作为产后出血的唯一原因相对少见。有此类异常家族史的患者以及有月经过多病史的患者应怀疑存在凝血障碍。临床情况也可能提示凝血缺陷是产后出血的原因。凝血障碍的诊断通常需要高度的怀疑指数，在评估产科出血时不应被忽视。
