blood vessel bleeding-coagulation anticoagulation platelet fibrinolysis
Classification of disease Abnormality of vessel:congenital,acquired 。 Abnormality of platelet:thrombocytopenia, thrombocytosis,quality abnormality Abnormality of blood clotting factors: congenital,acquired Abnormality of anticoagulation or fibrinolysis:drug,bited by snake or leech Abnormality of multi-factors:congenital, acquired
Abnormality of platelet GPI-IX VWE 纤维蛋白原 GPI。-IL 血小板减少 血小板粘附异常 血小板聚集异常 GPL,缺乏:巨大血小板病GPIL,-IL,缺乏:血小板无力症 VWF缺乏:血管性血友病 纤维蛋白原缺乏:血小板聚集障碍
Abnormality of clotting factore 组织损伤 (因子vI缺乏症)VII/T℉。 TF (血友病B)X XⅫ XIIa VIla/TF (因子Ⅺ缺乏症)X灯 XⅪa IXa (血友病AVII ,VIⅡa (因子X缺乏症) Xa X 因子Ⅱ缺乏症 Va V(因子V缺乏症) 低凝血酶原血症 异常凝血酶原血症 凝血酶原 凝血酶 纤维蛋白原 纤维蛋白 纤维蛋白原缺乏症 低纤维蛋白原血症 XIII XIIIa 异常纤维蛋白原血症 (因子XⅫI缺乏症) 交联的纤维蛋白
Diagnosis Symptoms Physical examination Character of hemorrhage:age, 。 Sign of hemorrhage location,duration,volume Sign of disease concerned: Cause of hemorrhage:no anemia,swollen liver or spleen cause,wound,medicine or lymph node,jaundice Other disease:liver,kidney, 。Vital sign heart,and so on 。 Familial history Others:nutrition,occupation, circumstance