Lindsay Holly, Lee-Kim YoungNa J, Srivaths Lakshmi V
Department of Pediatrics, Section of Hematology-Oncology, Baylor College of Medicine/Texas Children's Hospital, Houston, TX.
J Pediatr Hematol Oncol. 2016 Mar;38(2):158-60. doi: 10.1097/MPH.0000000000000422.
Ehlers-Danlos syndrome (EDS) is associated with easy bruising and bleeding complications in the majority. Although bleeding complications are frequently observed during surgery in these patients, the perioperative hemostatic prophylaxis of patients with EDS is not standardized. We present 2 cases of effective perioperative hemostatic management of patients with EDS and review the literature to raise awareness of hemostatic issues during surgery and discuss medical options to consider for perioperative hemostatic management based on our clinical experience and literature review.
大多数情况下,埃勒斯-当洛综合征(EDS)与易出现瘀伤和出血并发症相关。尽管在这些患者手术期间经常观察到出血并发症,但EDS患者围手术期的止血预防措施并不规范。我们介绍2例EDS患者围手术期有效止血管理的病例,并回顾文献,以提高对手术期间止血问题的认识,并根据我们的临床经验和文献回顾,讨论围手术期止血管理可考虑的医疗选择。