Manejo anestésico de un paciente hemofílico con trombofilia

Mohamad Ommid, A. Gupta, A. Asma, Gurcoo Showkat, Ayaz Farooqi, Qazii Shigufta
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Abstract

Haemophiliac patient are known to have increased mortality and morbidity in the past due to previous non existence of practice of blood banking. Mainly morbidity increased due to the complications arises such as recurrent bleeding episodes, painful haemarthroses and permanent disability secondary to ankylosed joints. This case enlightens the role and impact of undetected changes in Hemophilia A patient with Buerger's disease, highlighting the importance of vigilance on the part of the anesthesiologist, who must ensure the adequacy of hemostatic monitoring in these patients. The clinical presentation of Haemophilia A disease with Buerger's disease is a rare entity and can be challangeable for practicing anaesthesiology.
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血友病血栓形成患者的麻醉处理
由于以前没有血库的做法,血友病患者的死亡率和发病率在过去都有所增加。发病率的增加主要是由于并发症的出现,如复发性出血发作、疼痛性血肿和关节强直继发的永久性残疾。本病例揭示了在血友病合并伯格氏病的A型血友病患者中未被发现的变化的作用和影响,突出了麻醉医师警惕的重要性,麻醉医师必须确保对这些患者进行充分的止血监测。临床表现的血友病与伯格氏病是一个罕见的实体,可以挑战实践麻醉。
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