RUSH Hemophilia and Thrombophilia Center, RUSH University Medical Center, Chicago, Illinois, USA.
Haemophilia. 2012 Jul;18 Suppl 5:39-45. doi: 10.1111/j.1365-2516.2012.02887.x.
Haemostasis management in people with haemophilia can present a range of challenges to physicians. Specific challenges that may be encountered relate to regimens for immune tolerance induction, use of central venous access devices, optimizing care of paediatric patients with inhibitors and improving outcomes in acquired haemophilia. There are also challenges related to performing surgery, and the establishment of specialist centres is valuable with regard to this. These challenges are considered in the light of available data, and with perspectives gained from the experience of experts treating patients around the world. Sharing this knowledge may help to improve patient management.
血友病患者的止血管理可能会给医生带来一系列挑战。可能遇到的具体挑战与免疫耐受诱导方案、中心静脉通路装置的使用、优化有抑制剂的儿科患者的护理以及改善获得性血友病的结局有关。在手术方面也存在挑战，建立专门中心对此非常有价值。这些挑战是根据现有数据以及来自世界各地治疗患者的专家经验来考虑的。分享这些知识可能有助于改善患者管理。
