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改善创伤患者预后的血液管理策略

Impact of transfusion strategies on improving outcomes of trauma patients
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摘要 创伤可导致1/10的死亡率,创伤相关凝血功能障碍及输血相关并发症是主要原因。本文通过综述近几年文献,总结了创伤患者凝血功能检测,纠正凝血功能障碍,避免不必要的失血及输血策略,最新的药物治疗等,旨在提供改善创伤患者预后的新理念。但创伤患者的大出血及凝血功能障碍管理目前仍然极具挑战,需要进一步研究。 Traumatic injury carries 10% mortality rate. Trauma-induced coagulopathy and blood transfusion-related complications arethe leading causes of death. This article reviews recent research studies on detecting coagulation status of trauma patients, strategies to correct coagulopatliy and to avoid unnecessary blood loss and transfusion and new pharmaceutical advancements. We aim to provide new concepts and of improving outcomes of trauma patients. However, the management of massive bleeding and coagulopathy in traumapatients is still challenging and further research study is required.
出处 《麻醉安全与质控》 2018年第1期53-56,共4页 Perioperative Safety and Quality Assurance
基金 国家自然科学基金青年项目(81400924)
关键词 创伤 创伤相关凝血功能障碍 输血 预后 trauma trauma related coagulopathy transfusion outcome
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