Kaneda T, Nagayama M, Minato F, Nakahira H, Nakajima J, Shikimori M
J Oral Surg. 1978 Dec;36(12):956-9.
Some problems involved in grading the severity of hemophilia were discussed. No definite correlation existed between the clinical severity of hemophilia and the results of coagulation tests (activity of deficient factors, whole blood clotting time, thromboplastin screening test). There was also no correlation between the presence or absence of oral bleeding or hemarthrosis and the test results. It was concluded that the clinical severity of the disease can be graded more reasonably on the basis of clinical hemorrhagic symptoms than according to the activity of deficient factors.
讨论了血友病严重程度分级中涉及的一些问题。血友病的临床严重程度与凝血试验结果(缺乏因子的活性、全血凝血时间、凝血活酶筛查试验)之间不存在明确的相关性。口腔出血或关节积血的有无与试验结果之间也没有相关性。得出的结论是,根据临床出血症状比根据缺乏因子的活性更能合理地对该疾病的临床严重程度进行分级。