Lad Deepesh, Jain Arihant, Varma Subhash
Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India,
Blood Lymphat Cancer. 2017 Sep 18;7:61-72. doi: 10.2147/BLCTT.S125121. eCollection 2017.
Patients with leukemia are predisposed to various coagulation abnormalities. Thrombosis and bleeding continue to be a major cause of morbidity and mortality in leukemias. The pathophysiology of these disorders is unique, and not only the disease but also the treatment and other factors play a role. There has been an increase in the understanding of these disorders in leukemias. However, it is still difficult to predict when and which patients will have these complications. The evidence for the management of coagulation abnormalities in leukemias is still evolving and not as established as in solid malignancies. The management of these disorders is complex, and making clinical decisions is often challenging. In the era of specialization, where there are different hematologists looking after benign- and malignant-hematology patients, opinions of thrombosis experts are often sought by leukemia specialists. This review aims to bridge the gap in the knowledge of these disorders between these specialists.
白血病患者易出现各种凝血异常。血栓形成和出血仍然是白血病发病和死亡的主要原因。这些病症的病理生理学独特,不仅疾病本身,治疗及其他因素也发挥作用。人们对白血病中这些病症的认识有所增加。然而,仍然难以预测何时以及哪些患者会出现这些并发症。白血病凝血异常管理的证据仍在不断发展,不像实体恶性肿瘤那样成熟。这些病症的管理很复杂,临床决策往往具有挑战性。在专业化时代,有不同的血液科医生分别照料良性和恶性血液病患者,白血病专家经常寻求血栓形成专家的意见。本综述旨在弥合这些专家在这些病症知识方面的差距。