Hurwitz Alisheba, Massone Richard, Lopez Bernard L
Department of Emergency Medicine, Thomas Jefferson University Hospital, 1020 Sansom Street, Thompson Building, Suite 239, Philadelphia, PA 19107, USA.
Department of Emergency Medicine, Thomas Jefferson University Hospital, 1020 Sansom Street, Thompson Building, Suite 239, Philadelphia, PA 19107, USA.
Hematol Oncol Clin North Am. 2017 Dec;31(6):1123-1145. doi: 10.1016/j.hoc.2017.08.012.
Emergency medicine practitioners treat bleeding patients on a regular basis. Disorders of hemostasis are an additional challenge in these patients but can be assessed and managed in a systematic fashion. Of particular importance to the emergency clinician are the iatrogenic causes of abnormal hemostasis. Other acquired causes of abnormal hemostasis include renal disease, immune thrombocytopenia, thrombotic thrombocytopenic purpura, hemolytic uremic syndrome, acquired coagulation factor inhibitors, acute traumatic coagulopathy, liver disease, and disseminated intravascular coagulopathy.
急诊医学从业者经常治疗出血患者。止血障碍给这些患者带来了额外的挑战，但可以通过系统的方式进行评估和处理。对于急诊临床医生来说，医源性止血异常的原因尤为重要。其他获得性止血异常的原因包括肾脏疾病、免疫性血小板减少症、血栓性血小板减少性紫癜、溶血性尿毒症综合征、获得性凝血因子抑制剂、急性创伤性凝血病、肝脏疾病和弥散性血管内凝血。
