علاج حمى الضنك مع النزيف الشديد

References

1. Severe haemorrhage
2. Blood transfusion should be given only to patients with established severe bleeding, or suspected severe bleeding (fall in HCT) with unexplained hypotension.
3. If the source of bleeding is identified, attempts should be made to stop the bleeding.
4. Severe epistaxis, for example, may be controlled by nasal packing.
5. Endoscopy may be required to identify internal gastrointestinal bleeding.
6. However, if this cannot be quantified, aliquots of 10 mL/kg of fresh whole blood or 5 mL/kg of freshly packed red cells should be transfused.
7. In gastrointestinal bleeding, H-2 antagonists and proton pump inhibitors have been used, but there has been no proper study to show its efficacy.