Shadamarshan R Arunkumar, Sharma Rohit, Pradhan Ishan, Kumar Pramod
Dental Centre, C/o WLDMH HQ IMTRAT Bhutan.
Command Military Dental Centre (WC) Chandimandir India.
Clin Case Rep. 2021 Aug 30;9(9):e04746. doi: 10.1002/ccr3.4746. eCollection 2021 Sep.
Disorders of the fibrin stabilizing and fibrinolytic pathway should be considered in patients with excessive postsurgical bleeding with normal screening tests of hemostasis. History, clinical assessment of the timing and severity of bleeding along with utilization of advanced tests such as global hemostasis assays and appropriate coagulation factor assays (especially FXIII) will aid in the diagnosis.
对于术后出血过多但止血筛查试验正常的患者,应考虑纤维蛋白稳定和纤维蛋白溶解途径紊乱。病史、对出血时间和严重程度的临床评估,以及使用如整体止血检测和适当的凝血因子检测(特别是FXIII)等先进检测方法,将有助于诊断。