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[先天性出血性疾病]

[Congenital haemorrhagic diseases].

作者信息

Schved Jean-François

出版信息

Rev Prat. 2015 May;65(5):613-7.

Abstract

Congenital haemorrhagic diseases are the consequences of haemostasis dysfunction or defects. Among primary haemostasis disorders, von Willebrand disease is the most frequent. Hopefully the type 1 von Willebrand disease, which affects 85% of patients, is generally a mild haemorrhagic disorder. However it may induce some troubles during the everyday life. On the other side, haemophilia is the most frequent congenital coagulation disorders. Haemophilia A is due a factor VIII deficiency while haemophilia B is due to a factor IX deficiency. Haemophilia is mainly a musculoskeletal disease. Recurrent joint bleedings may lead to a severe disabling arthropathy. The organization of care for hemophilia is managed by haemophilia treatment centers. Other rare bleeding disorders may lead to the same complications but requires specific treatments.

摘要

先天性出血性疾病是止血功能障碍或缺陷的后果。在原发性止血障碍中,血管性血友病最为常见。有望影响85%患者的1型血管性血友病通常是一种轻度出血性疾病。然而,它可能在日常生活中引发一些问题。另一方面,血友病是最常见的先天性凝血障碍。甲型血友病是由于缺乏凝血因子VIII,而乙型血友病是由于缺乏凝血因子IX。血友病主要是一种肌肉骨骼疾病。反复关节出血可能导致严重的致残性关节病。血友病的护理组织由血友病治疗中心管理。其他罕见的出血性疾病可能导致相同的并发症,但需要特定的治疗方法。

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