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关节积血

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关节积血个X光照片

关节积血(英语:Hemarthrosis)指个是关节里向出血,通常是有出血倾向个病人受到外伤仔么发生个。

病因

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关节积血通常勒垃外伤发生仔後发生个,必过主要是有出血倾向个病人会得有箇种情况,比方讲用华法林(warfarin,或者其他抗凝剂)个病人咯血友病病人咾啥个。伊也可能发生勒关节关节置换术英语arthroplasty手术以后。[1]克里米亚-刚果出血热个辰光也可能骨骱里向出血,认为是病毒感染造成个关节里向出血[2][3]

诊断

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关节积血好用箇眼方法诊断:

首先是身体检查,通过活动骨骱,确认关节功能[4]。再进行关节液分析,箇要拿根细针插进关节里向,抽出关节液进行检查[5],假使讲验出来有血么就是哉。一般性也好通过核磁共振成像超声波X射线检查出来[6]

治疗

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血友病病人来讲,关节积血会得自然发生,反复发生仔么会得造成血友病性关节病变,是血友病病人失能个主因,治疗可能要做滑膜切除术英语synovectomy或者关节置换术[7],外加增加药减少出血可能。

参考

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  1. Recurrent hemarthrosis after knee joint arthroplasty: etiology and treatment. J Arthroplasty. 2004, 19 (2): 157–61. PMID 14973857. doi:10.1016/j.arth.2003.09.009.  已忽略未知参数|vauthors= (帮助)
  2. Ahmeti, Salih; Ajazaj-Berisha, Lindita; Halili, Bahrije; Shala, Anita. Acute arthritis in Crimean-Congo hemorrhagic fever. Journal of Global Infectious Diseases. Apr 2014, 6 (2): 79–81 [2019-12-02]. PMC 4049045. PMID 24926169. doi:10.4103/0974-777X.132052. (原始内容存档于2021-03-09). 
  3. Heyman, Paul; Cochez, Christel; Hofhuis, Agnetha; van der Giessen, Joke; Sprong, Hein; Porter, Sarah Rebecca; Losson, Bertrand; Saegerman, Claude; Donoso-Mantke, Oliver; Niedrig, Matthias; Papa, Anna. A Clear and Present Danger: Tick-borne Diseases in Europe. Expert Rev Anti Infect Ther. 2010, 8 (1): 33–50 [2019-12-02]. PMID 20014900. doi:10.1586/eri.09.118. (原始内容存档于2021-01-19). 
  4. "Hemarthrosis" (in en). Healthline. 
  5. "Hemarthrosis - What You Need to Know" (in en-US). Drugs.com. 
  6. Baker, C. L. Acute hemarthrosis of the knee. Journal of the Medical Association of Georgia. June 1992, 81 (6): 301–305. ISSN 0025-7028. PMID 1607844. 
  7. Dunn AL. Management and prevention of recurrent hemarthrosis in patients with hemophilia. Current Opinion in Hematology. Sep 2005, 12 (5): 390–4 [2019-12-02]. PMID 16093785. doi:10.1097/01.moh.0000169285.66841.c8. (原始内容存档于2012-03-11).