[Differential diagnosis and therapy of nephrogenic hemorrhagic diathesis].
For the development of nephrogenic haemorrhagic diatheses in the first place a decreased function of the thrombocytes and a thrombocytopenia are responsible. An inhibition in the intrinsic system may be referred to a lesion of the thrombocytic factor 3. Up to now defects in the extrinsic system do not allow a systematic classification. The best causal therapy are an effective haemodialysis and a renal transplantation. The detection of defects in the coagulation system is of importance for the dosed heparinisation and the control of the treatment with cytostatics for the immune suppression. Among 33 patients undergoing dialysis only 3 patients the Quick-value was reduced to 50% in 9 patients the thrombocyte values were below 150,000 mm3 and in 2 patients below 100,000 mm3. Among 28 carriers with renal graft only in 1 case the Quick-value was reduced to about 50%. In 12 patients the thrombocyte values were decreased below 150,000 mm3 and in 4 patients below 100,000 mm3. A correlation between the two global tests was not to be proved.
D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D006474:Hemorrhagic Disorders / Q000209:etiology / Q000628:therapy*; D006801:Humans; D016030:Kidney Transplantation; D008875:Middle Aged; D006435:Renal Dialysis; D013921:Thrombocytopenia / Q000150:complications; D014511:Uremia / Q000150:complications
Differentialdiagnose und Therapie der nephrogenene hämorrhagischen Diathesen.