Schved Jean-François
Rev Prat. 2015 May;65(5):613-7.
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.
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。