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围手术期大量输血合并凝血机制障碍的诊治 被引量:5

Perioperative management of massive blood transfusion with dysfunction of blood coagulation
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摘要 输血尤其是大量输血可以给病人带来严重并发症,大量输血合并凝血障碍就是其中之一,如果处理不当,往往会导致严重不良后果。围手术期大量输血合并凝血障碍往往是多种因素导致的结果,需要综合评估及时诊断。只有正确判断大量输血合并凝血障碍的主要原因,采取个体化及综合性的处理措施,包括合理利用各类凝血物质和选择恰当的外科治疗措施等,才能取得良好的治疗效果。 Blood transfusion, especially massive blood transfusion, can cause serious complications to patients. If handled improperly, massive blood transfusion with dysfunction of blood coagulation often lead to serious adverse consequences. Massive blood transfusion with dysfunction of blood coagulation is often a result of a variety of factors. It should be early diagnosed by comprehensive assessment. Through individualized and comprehensive measures, including infusion of various types of blood clotting substances, and appropriate surgical treatment, massive blood transfusion with dysfunction of blood coagulation can be cured for good in perioperative period.
作者 区金锐
出处 《中国实用外科杂志》 CSCD 北大核心 2010年第2期104-105,共2页 Chinese Journal of Practical Surgery
关键词 凝血障碍 围手术期 coagulopathy perioperative period
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参考文献10

  • 1Downes K, Sarode R. Massive blood transfusion[J]. Indian J Pediatr,2001,68(2): 145-149.
  • 2Sawyer PR, Harrison CR. Massive transfusion in adults : diagnosis, survival and blood bank support[J]. Vox Sang, 1990,58(3): 199-203.
  • 3Como JJ , Dutton RP, Scalea TM ,et al.Blood transfusion use rates in the care of acute trauma [J]. Transfusion ,2004 , 6(44): 809-813.
  • 4Ciavarella D, Reed RL,Counts RB,et al. Cloning factor levels and the risk of diffuse microvascular bleeding in the massively transfused patient [J]. Br J Haematol, 1987, 67(3): 365-368.
  • 5Hirshberg A, Dugas M, Banez EI, et al.Minimizing dilutional coagulopathy in exsanguinating hemorrhage : a Computer simulation [ J ]. J Trauma,2003,54(3): 454-463.
  • 6吴新民,于布为,薛张纲,徐建国,岳云,叶铁虎,王俊科,黄文起,无.麻醉手术期间液体治疗专家共识(2007)[J].中华麻醉学杂志,2008,28(6):485-489. 被引量:59
  • 7低血容量休克复苏指南(2007)[J].中国实用外科杂志,2007,27(8):581-587. 被引量:237
  • 8Fries D , Haas T, Klingler A, et al. Efficacy of fibrinogen and prothrombin complex concentrate used to reverse dilulional coagulopathy--a porcine model [J]. Br J Anaesth, 2006, 97(4) : 460-467.
  • 9Monroe DM. Modeling the action of factor Ⅶa in dilulional coagulopathy[J]. Thromb Res, 2008,122 (suppl 1) : 7-10.
  • 10Ganter MT, Schmuck S, Hamiel CR, et al. Monitoring recombinant factor Ⅶa treatment: efficacy depends on high levels of fibrinogen in a model of severe dilutional coagulopathy [J]. J Cardiothnrac Vasc Anesth, 2008, 22(5): 675-680.

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