Randhawa Amritraj, Bondin Daniela, Kumar B N
Department of ENT, RAEI Hospital, Wigan, UK.
BMJ Case Rep. 2014 Jun 17;2014:bcr2014203687. doi: 10.1136/bcr-2014-203687.
We present the case of a 5-year-old boy with no personal or family history of bleeding disorders, who suffered from recurrent post-tonsillectomy bleeds. The patient required multiple separate emergency visits to theatre in the 2-week postoperative period to achieve haemostasis. Initial baseline coagulation tests were found to be normal. However more extensive clotting studies revealed that the patient had an undiagnosed 'mild' haemophilia A.
我们报告一例5岁男孩的病例,该男孩无出血性疾病的个人或家族史,却反复出现扁桃体切除术后出血。术后2周内,患者多次单独急诊返回手术室以实现止血。最初的基线凝血检查结果正常。然而,更广泛的凝血研究显示,该患者患有未被诊断出的“轻度”甲型血友病。