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[非健康新生儿凝血障碍的表现]

[Appearance of coagulation disorders in the non-healthy newborn infant].

作者信息

Camboulives J, Sicardi F, Bimar J

出版信息

Ann Anesthesiol Fr. 1975;16 Spec No 1:181-94.

PMID:2077
Abstract

Coagulation abnormalities are particularly frequent in neonatal pathology and justify exploration of hemostasis in the newborn. First of all we established a profile of coagulation in the newborn using our own results and data from the literature. Contrasting with a deficit in numerous factors (II - VII - IX - X - XI - and XII), overall coagulation is normal, or even increased. The fibrinolytic system is characterized by a low plasminogen level but the activity of this system is transitorily increased. Then we recall the known syndromes: avitaminosis K, constitutional deficits in the coagulation factors, isolated thrombopenia, disseminated intravascular clotting. However numerous problems persist. Abnormalities in the clotting factors are frequently difficult to interpret. Correlation between the clinical and laboratory pictures does not always exist. We emphasize the necessity for preventive measures.

摘要

凝血异常在新生儿病理学中尤为常见,这使得对新生儿止血功能的检查成为必要。首先,我们利用自己的研究结果以及文献数据建立了新生儿凝血概况。与多种凝血因子(II - VII - IX - X - XI - XII)缺乏形成对比的是,整体凝血功能正常,甚至有所增强。纤维蛋白溶解系统的特点是纤溶酶原水平较低,但该系统的活性会暂时增强。然后我们回顾了已知的综合征:维生素K缺乏症、凝血因子先天性缺乏、孤立性血小板减少症、弥散性血管内凝血。然而,许多问题仍然存在。凝血因子异常常常难以解释。临床症状与实验室检查结果之间并不总是存在相关性。我们强调采取预防措施的必要性。

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