What is cardiogenic traumatic hemolytic anemia?

Update Date: 2024-02-01 Source: Network

summary

Traumatic cardiogenic hemolytic anemia is caused by open heart surgery, especially artificial heart valve replacement, aortic valve replacement or mitral valve replacement. In fact, all kinds of artificial valve surgery may cause hemolysis, what is cardiogenic traumatic hemolytic anemia? Next, I'd like to share my views with you.

What is cardiogenic traumatic hemolytic anemia?

It is mainly the wound and hemodynamic abnormalities caused by the corrective operation of heart or large vessel disease, and then the friction of the foreign body, which may impact the red blood cells and produce mechanical damage, resulting in traumatic hemolytic anemia.

Patients without surgical treatment often have small hemolytic volume and no or only mild anemia. Because of many factors causing hemolysis, patients after operation are prone to anemia and severe degree, and even need multiple blood transfusions. The occurrence of bacterial endocarditis or other chronic inflammation can also affect bone marrow hematopoiesis and aggravate anemia. Patients rarely have visible hemoglobinuria. Long term chronic hemolysis, iron in the form of hemoglobin and hemosiderin excluded from the urine, can be secondary to iron deficiency anemia.

It can be complicated with acute hemolysis, which is mainly caused by valve tear, leakage or rapid increase of cardiac output in a short time. At this time may have the acute hemolysis performance, appears jaundice, naked eye visible hemoglobinuria and so on. Acute intravascular hemolysis can be life-threatening in patients with heart failure.

matters needing attention

Keep oral cavity clean and prevent perianal infection; Convalescent patients can exercise properly, but can not be overtired. Convalescent patients can exercise properly, but can not be overtired. In addition, patients should adhere to medication treatment, regular follow-up, pay attention to the prevention of cold, once the sclera yellow staining or urine color changes, should be timely medical treatment.