Section of Neonatology, Department of Pediatrics, Northwestern University, Chicago, IL.
Section of Pediatric Hematology, Oncology and Stem Cell Transplant, Department of Pediatrics, University of Chicago, Chicago, IL.
Neoreviews. 2024 Nov 1;25(11):e694-e709. doi: 10.1542/neo.25-11-e694.
The coagulation system in newborns varies from that of children and adults, with many circulating hemostatic factors being lower in the newborn. Infants are also susceptible to diseases and conditions in the pregnant person affecting their coagulation system, which can make it difficult to rapidly identify the cause behind coagulopathy in a neonate. Coagulation disorders can result in high levels of infant morbidity and mortality, which makes early diagnosis and prompt treatment critical. This review outlines the clinical characteristics, diagnosis and management, epidemiology, and etiologies of both common and uncommon congenital and acquired forms of neonatal coagulopathy.
新生儿的凝血系统与儿童和成人不同,许多循环止血因子在新生儿中较低。婴儿也容易受到影响其凝血系统的孕妇疾病和情况的影响,这可能使得难以快速确定新生儿凝血功能障碍的原因。凝血障碍可导致婴儿发病率和死亡率升高,这使得早期诊断和及时治疗至关重要。这篇综述概述了常见和罕见的先天性和获得性新生儿凝血功能障碍的临床特征、诊断和治疗、流行病学和病因。