手足口病重症患儿的血凝分析(2)
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从另外一个角度来讲,重症手足口病合并神经源性肺水肿时,是否给予止血药物、补充凝血因子等治疗措施。建议注意根据病情变化实时监测血凝指标,血凝监测无异常的情况下由外周静脉给予止血药物、补充凝血因子应谨慎使用。因为对于危重症患儿普遍有交感神经亢进的表现,儿茶酚胺大量释放致心率快、血压高,外周毛细血管床的关闭导致四肢末梢血管收缩,早期积极的干预是否能导致外周血栓的形成仍不能排除,有待于进一步研究。
[参考文献]
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(收稿日期:2012-10-24)
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