纠正血小板计数异常预防术后大出血引起的医疗纠纷  

Correction of Abnormal Platelet Count for the Prevention of Medical Disputes due to Postoperative Massive Bleeding

作　　者：张峰[1] 刘亮[2] 范贞[3] 

机构地区：[1]河南省新乡市中心医院骨科二(关节),453000 [2]解放军总医院海南分院,海南省三亚市572013 [3]北京市百瑞律师事务所,100097

出　　处：《中国全科医学》2017年第32期4023-4025,共3页Chinese General Practice

基　　金：北京市社会科学基金资助项目(15JGB121)

摘　　要：术后出血引发的医疗纠纷时有发生,而血小板计数异常导致的术后大出血,是外科医师极易忽略但可控的医疗风险。血常规检查中外科医师更多关注血红蛋白和白细胞计数,而忽视血小板计数。本文报道2例因血小板计数异常导致的术后大出血病例,提示术后血小板计数明显降低的出血患者应及时补充新鲜血小板,以帮助止血。Medical disputes caused by postoperative massive bleeding occur from time to time. As a matter of fact,postoperative bleeding caused by abnormal platelet count is a kind of medical risks that is easily overlooked by surgeon,but controllable. Of the routine blood test indicators,the levels of hemoglobin and white blood cells of the patients are often be paid more attention by the surgeons,while those of platelet count are often be ignored. We reported 2 cases of postoperative massive bleeding due to abnormal platelet count with a view to giving the suggestion that,those patients with postoperative bleeding and significant platelet reduction should be administered fresh platelets timely as a helpful way to stop the bleeding.

关 键 词：血小板计数 失血 手术 医疗纠纷 

分 类 号：R605.972[医药卫生—急诊医学]