Different causes of skin bruising in dialysis patients are treated in different ways, patients with excessive anticoagulant application need to reduce the amount of anticoagulant, and patients with thrombocytopenia need platelet boosting therapy.
Bruising of the skin in dialysis patients is mainly caused by subcutaneous bleeding. Common causes include excessive anticoagulant dosage during dialysis or other causes of thrombocytopenia.
Hemodialysis requires the application of anticoagulants such as low molecular heparin or heparin to ensure the smooth progress of dialysis, if the dosage is too large, subcutaneous bruising can occur, and at this time it is necessary to reduce the dosage of anticoagulants, and change to heparin-free dialysis if necessary.
Low platelet count can lead to hemorrhagic tendency causing subcutaneous bleeding, at this time the need to identify the cause of platelet reduction. Heparin-associated thrombocytopenia is common in dialysis patients, and heparin needs to be discontinued. In addition, blood diseases can also lead to platelet reduction, in which case bone marrow aspiration is needed to identify the cause and then treat the cause.
It is recommended that patients with skin bruising after dialysis should consult the hospital in time, complete the examination under the guidance of the doctor, identify the cause and treat it actively.