创伤外科杂志
創傷外科雜誌
창상외과잡지
JOURNAL OF AUMATIC SURGERY
2015年
5期
478-481
,共4页
创伤%凝血病%血栓%输血%损害控制
創傷%凝血病%血栓%輸血%損害控製
창상%응혈병%혈전%수혈%손해공제
trauma%coagulopathy%thromboelastography%transfusion%damage control
创伤性凝血病是严重创伤诱发的机体凝血功能障碍，其增加创伤后出血救治难度和创伤后死亡率。依据创伤后临床表现，结合相关凝血功能指标、血栓弹力图等实验结果有助于早期诊断创伤性凝血病。采取有效止血、损害控制性策略、恢复机体内环境和合理补充血制品等综合性措施，将有利于创伤性凝血病的防治和改善创伤预后。
創傷性凝血病是嚴重創傷誘髮的機體凝血功能障礙，其增加創傷後齣血救治難度和創傷後死亡率。依據創傷後臨床錶現，結閤相關凝血功能指標、血栓彈力圖等實驗結果有助于早期診斷創傷性凝血病。採取有效止血、損害控製性策略、恢複機體內環境和閤理補充血製品等綜閤性措施，將有利于創傷性凝血病的防治和改善創傷預後。
창상성응혈병시엄중창상유발적궤체응혈공능장애，기증가창상후출혈구치난도화창상후사망솔。의거창상후림상표현，결합상관응혈공능지표、혈전탄력도등실험결과유조우조기진단창상성응혈병。채취유효지혈、손해공제성책략、회복궤체내배경화합리보충혈제품등종합성조시，장유리우창상성응혈병적방치화개선창상예후。
Coagulopathy induced by trauma was associated with excessive bleeding and increased mortality. It was helpful to early identify trauma-induced coagulopathy by taking into account the patient ’ s history, clinical characteristics and laboratory results.Multiple strategies including effective haemostasis,damage control principles, reversing hypothermia and acidosis,supplement of blood products may help for the prevention and prognosis of severe trauma-induced coagulopathy.
