Lack of increased bleeding after liver biopsy in patients with mild hemostatic abnormalities.

摘要: Prophylactic transfusions of fresh frozen plasma and platelets are sometimes given to patients with mild elevations in prothrombin time (PT) partial thromboplastin (PTT) thrombocytopenia before percutaneous liver biopsy. To determine whether PTs PTTs 1.1-1.5 times midrange normal levels platelet counts 50-99 x 10(9)/L associated increased bleeding complications, hospital records all who underwent biopsy during 56 consecutive months (n = 291) were reviewed. Complete information was available for 177 inpatient procedures (155 standard, 22 fine needle). Overall, the frequency complications greater than or equal 50 X 3.4% (6 175), no significant difference between hemostatic abnormalities parameters. These data suggest that prophylactic may not be necessary. One factor highly complications: a patient diagnosis malignancy, 14% (7 50) compared 0.8% (1 127) among other (P less 0.001). should monitored closely after