Von Willebrand disease as cause of unanticipated bleeding following adeno-tonsillectomy
Von Willebrand disease as cause of unanticipated bleeding following adeno-tonsillectomy
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DOI：
10.1016/s0165-5876(99)00195-0
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发表时间：
1999-08-20
影响因子：
1.5
通讯作者：
Morado, M
中科院分区：
文献类型：
--
作者：
de Diego, JI;Prim, MP;Morado, M
血管性血友病(VWD)是一种常见的常染色体出血性疾病。我们报告两位6岁以上的意外病例，在我科接受扁桃体及腺样体切除手术。术前血液学检查(活化部分凝血活酶时间、凝血酶原时间、纤维蛋白原和血小板计数)正常。两名患者均曾接受过腺样体切除术，无并发症。在这两个病例中，在术后即刻都观察到大量出血。对这些情况下的治疗措施进行了讨论，并回顾了目前有关T&A术前血液学评估的文献。(C)1999爱思唯尔爱尔兰科学有限公司。保留所有权利。
Von Willebrand disease (vWD) is a frequent autosomal bleeding disorder. We report two unsuspected patients over 6 years of age with this disease operated by tonsillectomy and adenoidectomy (T&A) at our Department. Preoperative hematologic work-up (with activated partial thromboplastic time, prothrombin time, fibrinogen, and platelet count) was normal. Both patients had undergone previous adenoidectomy without complications. In both cases, profuse bleeding was noted in the immediate postoperative period. The therapeutic measures in these situations are discussed and a review of the current literature concerning preoperative hematologic evaluation of T&A is included. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.