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Burns orthopedics and hematology department treated a hemophilia patient with hemorrhage
Author:xaszxyy  Release date:2018-09-03


    In February 2018, a hematophilia patient admitted to the Department of Hematology, Xi'an Central Hospital, who had a large hemangiomas removal in the left hip in other hospital, and the wounds were bleeding after surgery. After detailed examination of the hematology department, he was finally diagnosed as "hemophilia A". While actively carrying out blood medicine related treatments, we invited burn plastic surgery department to conduct consultation. After consultation, Dr. Jian Tao believed that there are three possible reasons for the bleeding: 1. residual tumor leads to oozing; 2. hemophilia caused by coagulopathy; 3. there are large blood vessels that are not ligated in the operation area. To solve the problem, it was necessary to re-exploration of the wound under the premise of regulating the coagulation function of the patient. On February 22, after the clotting factor was basically close to the surgical standard, the patient was transferred to the burn plastic surgery department, and wound exploration was conducted at the same day. During the operation, there was a huge hematoma in the wound and there was continuous extensive oozing. After cleaning the hematoma for about 1000ml, a variety of hemostasis methods such as ligation, electrocoagulation and compression were used to cope with extensive bleeding. After the operation, the two departments continued to work together to discuss the development of post-operative treatment. After everyone's concerted efforts, the patient's bleeding on the wound surface has been basically controlled, the condition has stabilized, and the patient and family members are very happy.


    In the face of complicated cases of persistent bleeding after hemophilia and hemangiomas, the medical workers in our hospital never gave up. The cooperation between the Department of Hematology and the Department of Burns and Plastic Surgery, with the active cooperation of the family members, together, we finally successfully completed this seemingly very difficult and arduous treatment task. Together, we have composed a harmonious movement between doctors and patients.