Harley J R
Department of Emergency Medicine, Children's Hospital and Health Center, San Diego, California, USA.
Pediatr Emerg Care. 1997 Oct;13(5):347-9. doi: 10.1097/00006565-199710000-00014.
Two cases of idiopathic thrombocytopenia and one case of hemophilia with unexplained bruising are presented. The children were all initially thought to be victims of nonaccidental trauma until coagulation disorder screening tests were returned with abnormal values. A review of the literature of similar cases is presented. It is recommended that any child with unexplained or implausible bruising receive a screen for coagulation disorders consisting of a complete blood count with platelet count, prothrombin time, a partial thromboplastin time, and a bleeding times.
本文报告了两例特发性血小板减少症和一例伴有不明原因瘀伤的血友病病例。这些儿童最初都被认为是非意外伤害的受害者，直到凝血功能障碍筛查测试结果显示异常。本文还对类似病例的文献进行了综述。建议对任何有不明原因或不合理瘀伤的儿童进行凝血功能障碍筛查，包括全血细胞计数及血小板计数、凝血酶原时间、部分凝血活酶时间和出血时间检查。
