Centre for Thrombosis and Haemostasis, Malmö University Hospital, Lund University, Malmö, Sweden.
Haemophilia. 2011 Jan;17(1):11-6. doi: 10.1111/j.1365-2516.2010.02337.x.
Despite improvements in therapy that has greatly enhanced the treatment of patients with haemophilia with inhibitors, they are still at risk of poorer outcomes including haemophilic arthropathy and long-term disability. The objective of this review is to consider clinical data on the effect of rapid control of bleeding episodes on outcomes in these patients. Rapid control of bleeding episodes using bypassing agents has the potential to minimize joint damage and to improve quality of life. Consideration of strategies to support rapid control of bleeding--including patient education and awareness, and timely administration of clotting factor--is important.
尽管治疗方法的改进极大地提高了有抑制剂的血友病患者的治疗效果,但他们仍然存在较差的预后风险,包括血友病性关节病和长期残疾。本次综述的目的是考虑关于快速控制出血事件对这些患者结局影响的临床数据。使用旁路制剂快速控制出血事件有可能最大限度地减少关节损伤,并改善生活质量。考虑支持快速控制出血的策略非常重要,包括患者教育和意识,以及及时给予凝血因子。