血友病患者腹部内出血并非常见,却是血友病致死的主要原因。其表现是多种多样的,可酷似其它腹部内出血的疾病。本文报道7例甲型血友病患者发生腹部内出血,其发病及诊治经过摘要见表。 7例中5例初诊时曾误诊。从就医到确诊平均为2天(当天～5天),确诊前症状持续时间平均为8(3～14)天。由于持续性不明确的疼痛和突然的无法解释的红细胞比积下降,有时伴有血容量降低的体征等而考虑到本病并获得确诊。腹腔内出血的症状、体征和并发症是出血的后果所引起。疼痛是最常见的主诉,常为持续性痛,也可呈间歇性,通常无反跳痛、厌食、恶心和呕吐。由于血液刺激腰骶神经丛,疼痛可放射到阴囊区,甚至达腿部或膝部。肠鸣音存在与否在不同病例表现各异。血液长时间或严重的压 Hemophilia bleeding in the abdomen is not common, but it is the main cause of death from hemophilia. Its performance is varied, can resemble other intra-abdominal bleeding disorders. This article reports 7 cases of hemophilia A in patients with intra-abdominal hemorrhage, the incidence and diagnosis and treatment after a summary of the table. Five of the seven cases were misdiagnosed when they were newly diagnosed. From the doctor to the diagnosis of an average of 2 days (day ~ 5 days), the average duration of symptoms before diagnosis of 8 (3 ~ 14) days. This disease is taken into account and diagnosed because of persistent, unacceptable pain and a sudden unexplained decrease in hematocrit, sometimes accompanied by signs of hypovolemia. The symptoms, signs and complications of intraperitoneal bleeding are caused by the consequences of bleeding. Pain is the most common complaint, often persistent pain, intermittent, and usually without rebound pain, anorexia, nausea and vomiting. As the blood stimulates the lumbosacral plexus, pain can radiate into the scrotum area, reaching up to the legs or knees. Bowel sounds exist in different cases of different performance. Long-term or severe blood pressure