严重创伤性凝血病防治新进展

Emergency prevention and treatment of the coagulopathy of severe trauma

失血作为严重创伤患者早期死亡的首要原因,一方面与无法控制的创伤出血有关,另一方面则与失血后凝血病有关。新近关于创伤性凝血功能障碍及凝血病急救医学得到发展,主要表现在基础研究的深入和临床医学救治措施的改进。本文阐述了严重创伤凝血病新观点及认识,旨在加深临床对该病症发生、发展的整体认识,以提高救治效率。

Blood loss is one of the early leading causes of death of severe trauma patients. On the one hand,it was associated with uncontrollable trauma bleeding. On the other hand,it was associated with coagulopathy after traumatic bleeding. Recently,emergency medicine of traumatic coagulation dysfunction and coagulopathy had made some new development,mainly in the field of basic research and improvement of their clinical management. In this paper,some new ideas and understanding of the severe traumatic coagulopathy were reviewed to help emergency doctors to understand its occurrence and development so as to improve the clinical efficacy.