Hemorrhage - a pathological bleeding of varying severity in different parts of the body that occurs when external influences or internal pathology of the body.Patients who are prone to the development of hemorrhage, spontaneous note the emergence of these visual signs of increased bleeding which represented not only a cosmetic defect, as they can be a symptom of a more serious disease and blood vessels.Sometimes the appearance of hemorrhage is accompanied by the release of blood into the environment, but in most cases the interstitial accumulation of blood.
Development hemorrhage may be due to the traumatic impact on unaltered vascular wall, and without the presence of the fact of injury, provided pathologically altered vessels.The cause of vascular permeability disorders can serve as congenital genetic abnormalities (haemophilia, von Willebrand's syndrome), but abnormal bleeding is most often observed in patients suffering from acquired pathology of blood
The formation of hemorrhages in the skin and subungual bed by a variety of dermatological diseases background profile (chronic dermatitis, psoriasis).Most dermatologists do consider the development of subungual hemorrhage in a patient in the background of complete well-being of the first clinical signs of psoriasis debut.
For all the different localization of hemorrhages characteristic is the relationship of their appearance in the presence of predisposing factors, which include depression and psycho-emotional stress, prolonged intake of drugs group hormonal and traumatic impact.
clinical manifestations, their intensity and specificity are directly dependent on localization of hemorrhages.Thus, the most common clinical form of this disease make subcutaneous hemorrhage occurring as a result of medical procedures, such as intramuscular and subcutaneous injection.Intravenous administration of the drug can also be accompanied by the development of hemorrhages due to having a through venous vessel damage that is extremely rare.Degree hemorrhagic manifestations in this situation depends on the thickness of the injection needle and properties of the administered drug.
long duration of subcutaneous hemorrhage can vary considerably, due to the regenerative abilities of each individual organism.However subcutaneous hemorrhage arising intramuscular injections are characterized over longer compared to subcutaneous, since muscular tissue contains more blood vessels with a diameter greater than the diameter of subcutaneous blood vessels.In most situations, the subcutaneous hemorrhages do not require the use of specific medical treatment and leveled their own for a short time.
If you get a certain amount of erythrocyte blood cells in the skin that occurs with abnormal vascular permeability of the capillaries, are formed on the skin signs of hemorrhage.Visually data lesions appear as intense spots hyperemic, sometimes coalescing or as a single spot rash.For hemorrhages localized to the skin, characterized by pathological changes in the form of a modification of color bleeding from intense red to brownish-yellow, due to the transformations of hemoglobin.
Typically, the presence of hemorrhages in the skin does not require the application of therapeutic measures and they are for a short period of time disappear on their own.A variety of skin hemorrhages are subungual hemorrhage, which have the form of point spots or linear sections of different colors and shapes, localized under the nail bed.Besides having a hemorrhage, she changed the nail plate, which becomes dull yellow, uneven and has high brittleness.Very often subungual hemorrhage accompanied by fungal infection that needs immediate medical treatment.
In a situation where the patient has symptoms of inflammatory changes in the gastric mucosa, which is observed in gastritis erosive type developing gastric hemorrhage.With the defeat of the gastrointestinal tract are developing so-called submucosal hemorrhage, which for a long time can occur completely asymptomatic.The first symptoms suggestive of development of gastric hemorrhage, is unmotivated weakness, dizziness, nausea, having no connection with the meal.Under developed clinical symptoms of the patient has frequent episodes of vomiting, vomit and have a characteristic dark color, which is a pathognomonic symptom of gastrointestinal bleeding.This pathological condition requires careful attention of the attending physician and is the reason for hospitalization of the patient in order to use specific medication.
The internal bleeding and hemorrhages related liver cirrhosis observed in severe portalization flow.Most pathognomonic sign of hemorrhage in cirrhosis is esophageal bleeding, which can have varying degrees of intensity.Subsequently, the patient except vomiting occurs bloody stools dark color.
Hemorrhage on the face of often localized in the projection of the eyeballs and the periorbital area, and are small patches of dark or bright red color, depending on the duration of their course.Hemorrhage point in the tunica of the eye is not accompanied by the development of pain or visual impairment, however, some patients reported the appearance of sensations flicker flies before his eyes and split items.In situations where the patient has signs of expulsive hemorrhage as complications of surgical intervention on the organs of vision, or a traumatic impact on the periorbital region, it is necessary to urgently hospitalize him in a hospital ophthalmic profile.Signs pointing to the development of this complication is a severe throbbing headache, nausea and retching, dizziness, a feeling of "fullness" in the eyeball.
most severe clinical form of a subarachnoid hemorrhage, at which the accumulation of a large amount of fresh blood in the subarachnoid space.This pathological condition belongs to the category of acute emergency conditions and is accompanied by the development of severe clinical symptoms in the form of intense pain in the head of the pulsating nature, of varying degrees of impaired consciousness from short-term swoon to deep coma, the emergence of positive meningeal signs.Visually subarachnoid hemorrhage can not be established, however, such special methods as computed tomography and analysis of cerebrospinal fluid in the short term allow the right to verify the diagnosis.
In establishing the diagnosis and determine the tactics of a patient who shows signs of hemorrhage, it should be noted that some forms of the disease state likely to develop complications, and therefore, all patients of this profile need dynamic observation.Complications hemorrhage is a hemorrhage inflammatory transformation and the development of hemorrhagic anemia syndrome, which if severe can cause of death.
feasibility of using pharmacological measures is set, given the severity of the patient, clinical form of hemorrhage, its intensity and the ability to provoke complications.Thus, for example, intradermal and subcutaneous neobshirnyh hemorrhages can not apply remedial measures, and if sufficiently large hemorrhages use local treatment (application of heparin or Troksevazinovoy ointments twice daily to the affected area).When
hemorrhages in the eyeball ophthalmologists usually used combined treatment (locally as eyedrops "Emoksipin" 1 drop twice a day and medication).In a situation where drug therapy is ineffective, ophthalmologists recommend a surgical removal of a blood clot by vitrectomy.
Hemorrhage in the stomach, discovered during endoscopy require treatment only basic underlying disease (erosive gastritis), but at the first sign of gastrointestinal bleeding, even low intensity hospitalization of the patient in the surgical hospital.A fundamental step in the treatment of this situation is the replacement therapy with intravenous infusions of fresh frozen plasma and menadione parenteral administration a daily dose of 30 mg.
Hemorrhage - a doctor will help ?In the presence or suspected development of hemorrhage should immediately consult a doctor such as a dermatologist or a hematologist.