Acquired blood coagulation factor Ⅴ deficiency in a patient with severe burn
10.3760/cma.j.issn.1009-2587.2019.01.014
- VernacularTitle: 严重烧伤合并获得性凝血因子Ⅴ缺陷症一例
- Author:
Xiaojie BI
1
;
Xianfu JIN
;
Huifei ZHANG
;
Zhengxian SU
;
Bo SHEN
Author Information
1. Department of Laboratory, Taizhou Hospital of Zhejiang Province, Taizhou 317000, China
- Publication Type:Case Reports
- Keywords:
Burns;
Factor Ⅴ;
Blood coagulation factor inhibitor;
Immunosuppressive therapy
- From:
Chinese Journal of Burns
2019;35(1):71-73
- CountryChina
- Language:Chinese
-
Abstract:
In March 2017, a severely burned male patient aged 36 years with hypovolemic shock was admitted to our hospital. The patient received large quantities of antibiotics and blood products and repeated skin graft after admission, and then he suffered wound errhysis and throat congestion. The patient was healthy before without family history of bleeding or thrombosis disease. Laboratory tests showed that prothrombin time and activated partial coagulation time were remarkably prolonged, blood coagulation factor Ⅴ activity was extremely low, and the result of qualitative test of coagulation factor inhibitor was positive. Acquired blood coagulation factor Ⅴ deficiency was diagnosed. After application of dexamethasone (5 mg, twice per day) and infusion of fresh frozen plasma, blood coagulation indicators of patients recovered in 4 days, the result of qualitative test of coagulation factor inhibitor was negative, and bleeding symptoms were improved.
