Prothrombin time 27 with bruises on the thighs indicates exogenous coagulation factor deficiency and exogenous bleeding, the specific disease of coagulation factor deficiency should be identified in time, and the primary disease should be treated actively, while coagulation factors should be supplemented at the same time.
The common diseases that cause prolongation of prothrombin time include vitamin K deficiency, drug poisoning, liver disease, etc. The treatment measures are different according to different diseases.
1. Vitamin K deficiency: Vitamin K should be actively supplemented for treatment, which can be taken orally under doctor’s guidance, or injected intravenously or subcutaneously.
2. Drug poisoning: for example, warfarin, warfarin will cause prolongation of prothrombin time with symptoms of bleeding, warfarin should be promptly discontinued or reduce the dosage of warfarin, you can increase the level of coagulation factors in the plasma by replenishing plasma and coagulation factors.
3. Liver disease: severe liver disease will cause coagulation factor synthesis disorder, which will lead to prolongation of prothrombin time. Liver function test should be carried out, and liver disease should be actively treated, such as interferon treatment for hepatitis B, etc. At the same time, coagulation factors should be supplemented to improve coagulation function.
It is recommended that patients should promptly identify the cause of bleeding and reduce bumps or trauma, and take different treatment measures under the guidance of doctors.