2.Advances in the pathogenesis and treatment of neurosurgical emergency with coagulation disorders.
Acta Academiae Medicinae Sinicae 2013;35(5):576-580
Neurosurgical emergencies including intracranial hemorrhage and head trauma have high mortality and morbidity rates and meanwhile are often accompanied with coagulation disorders. On one hand, coagulation disorder follows traumatic brain injury;on the other hand, the increasing use of anticoagulant and antiplatelet treatment for cardiovascular diseases increases the risk of death among patients with brain trauma or bleeding. Once the intracranial pressure increases, such patients need emergency surgical intervention, but coagulation disorder is a relative contraindication. This article reviews the pathogenesis and treatment of coagulation disorders in patients with neurosurgical emergency. It also analyzes clinical monitoring indices for such patients and their variations and summarizes the strategies and measures of perioperative management.
Blood Coagulation Disorders
;
complications
;
physiopathology
;
surgery
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Brain Injuries
;
complications
;
surgery
;
Emergencies
;
Humans
;
Intracranial Hemorrhages
;
complications
;
surgery
3.Deep neck abscesses accompanied by multiple underlying diseases: 2 case reports.
Yichen WAN ; Yan YAN ; Li WANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2012;26(19):906-907
Patients who complained of pain, tenderness mass in neck, fever, limitation of mouth opening, pharyngalgia,dysphagia,with lab showing increased Neu, remarkably decreased PLT, upsurging Glu, urine-Glu, ALT, T-Bil, AFP, were finally diagnosed to suffer from deep neck abscesses after CT scanning. What was worth mentioning was that diabetes, hepatitis C, thrombocytopenia, and fungus infection added to the complexity of the treatment.
Abscess
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complications
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Adult
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Aged
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Blood Coagulation Disorders
;
complications
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Diabetes Complications
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Hepatitis C
;
complications
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Humans
;
Male
;
Mycoses
;
complications
;
Neck
;
pathology
4.Coagulation dysfunction in COVID-19.
Yiming XU ; Dandan LYU ; Kejing YING
Journal of Zhejiang University. Medical sciences 2020;49(3):340-346
In addition to common clinical features, patients with coronavirus disease 2019 (COVID-19) have varying degree of coagulation dysfunction with the risk of thrombosis and/or bleeding. COVID-19 related coagulation dysfunction is a dynamic process, which may be accompanied by the formation of disseminated intravascular coagulation and is related to the severity of the disease. The imbalance of the body's immune and inflammatory response caused by coronavirus infection is an important cause of coagulation dysfunction. Dynamic monitoring as well as early prevention and treatment are of great significance for improving the prognosis of patients. This article reviews the research progress of COVID-19 related coagulation dysfunction, to provide reference for clinical research and management.
Betacoronavirus
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Blood Coagulation Disorders
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etiology
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Coronavirus Infections
;
complications
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Humans
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Pandemics
;
Pneumonia, Viral
;
complications
7.Coagulation Disorders in Bullous Pemphigoid and Its Mechanism.
Acta Academiae Medicinae Sinicae 2019;41(5):685-689
Bullous pemphigoid(BP)is an autoimmune blister disease caused by antibodies to the basement membrane zone.It usually exhibits tense bullae in skin and mucous membrane.BP patients can suffer from thrombosis due to hypercoagulation and/or hemorrhage due to the presence of anti-coagulation factors,which may be explained by the eosinophils,antibodies to the coagulation factors,and fibrinolytic system hyperactivity or inhibition.
Autoantibodies
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Blister
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Blood Coagulation Disorders
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complications
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Blood Coagulation Factors
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Eosinophils
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Hemorrhage
;
etiology
;
Humans
;
Mucous Membrane
;
pathology
;
Pemphigoid, Bullous
;
complications
;
Skin
;
pathology
;
Thrombosis
;
etiology
8.Research progress of acute coagulopathy of trauma-shock.
Chinese Journal of Traumatology 2015;18(2):95-97
Acute coagulopathy of trauma-shock (ACoTS) occurs in 25% of patients with severe trauma in the early phase, and the mortality of those patients is four-fold higher than patients without coagulopathy. The pathophysiology of this complicated phenomenon has been focused on in recent years. Tissue injury and hypoperfusion, activated protein C and Complements play important roles in the early phase after trauma. While the use of blood products, hypothermia, acidosis and inflammation are the main mechanism in late phase. Supplementing coagulation factors and platelets to improve ACoTS are inefficient. Only positive resuscitation from shock and improving tissue hypoperfusion have expected benefits.
Blood Coagulation Disorders
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etiology
;
Complement System Proteins
;
physiology
;
Disseminated Intravascular Coagulation
;
etiology
;
Humans
;
Hypothermia
;
complications
;
Inflammation
;
complications
;
Protein C
;
physiology
;
Shock, Traumatic
;
complications
9.Based on the four segments and treatment by syndrome differentiation to lower the mortality of sepsis.
Chinese journal of integrative medicine 2009;15(1):16-18
Blood Coagulation Disorders
;
therapy
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Fever
;
complications
;
therapy
;
Humans
;
Lung Injury
;
therapy
;
Multiple Organ Failure
;
therapy
;
Sepsis
;
complications
;
mortality
;
therapy
;
Syndrome