Is fibrinogen 1.6 severe in children

Childhood fibrinogen levels of 1.6g/L are considered mildly low and require comprehensive evaluation based on clinical manifestations. The decrease in fibrinogen may be caused by congenital deficiency, liver disease, disseminated intravascular coagulation, severe infection, or malnutrition.

1. Congenital deficiency: Children with hereditary hypoalbuminemia may have no obvious symptoms or present with a slight tendency towards bleeding. This type of situation requires regular monitoring of coagulation function, avoiding vigorous exercise and trauma, and supplementing fibrinogen preparations under the guidance of a doctor if necessary.

2. Liver diseases:

Liver diseases such as hepatitis and cirrhosis can affect fibrinogen synthesis. Children often experience decreased appetite, jaundice, or liver pain, and a clear diagnosis through liver function tests, ultrasound, etc. Treatment of the underlying disease is crucial.

3. Coagulation dysfunction:

Diffuse intravascular coagulation (DIC) can lead to a decrease in fibrinogen depletion, and children may experience skin bruising, mucosal bleeding, or visceral bleeding. Urgent treatment of the primary disease is required, along with supplementation of coagulation factors and platelets. 4. Infection factors: Severe infections such as sepsis can accelerate fibrinogen degradation. Children with high fever, chills and other systemic inflammatory reactions often require blood culture examination and active anti infective treatment.

5. Nutritional deficiency:

Long term insufficient protein intake can affect fibrinogen synthesis. These children usually have slow weight gain, dry and yellow hair, and other symptoms. They need to adjust their diet and increase their intake of high-quality protein such as fish, poultry, meat, and eggs.

It is necessary to observe whether children have abnormal symptoms such as nosebleeds and gum bleeding in daily life to avoid bumps and injuries. Ensure daily intake of sufficient high-quality protein in diet, such as egg custard, fish paste and other easily digestible foods. It is recommended to recheck coagulation function every 3-6 months. If there are repeated subcutaneous bruising, continuous bleeding from the wound, etc., seek medical attention immediately. For children with congenital fibrinogen deficiency, they should consult a hematologist to assess the risk of bleeding before vaccination.

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