Stensballe Jakob, Lethagen Stefan, Johansson Pär Ingemar
Anaestesi- og operationsklinikken 4231/TraumeCentret, H:S Rigshospitalet, DK-2100 København Ø.
Ugeskr Laeger. 2005 Jun 20;167(25-31):2789-90.
A severely injured patient was treated for uncontrollable, life-threatening haemorrhage according to a new standardised algorithm at Rigshospitalet, Copenhagen University Hospital. Despite aggressive surgical treatment, the diffuse bleeding continued and treatment with an ''emergency transfusion package'' (5 units of red blood cells plus 5 units of fresh-frozen plasma plus 2 units of platelets) with a subsequent infusion of fibrinogen plus a single dose of 100 microg/kg recombinant factor VIIa was initiated. Haemostasis was achieved, and the patient recovered with a good clinical outcome.
一名重伤患者在哥本哈根大学医院里格霍斯皮塔尔按照一种新的标准化算法接受了针对无法控制的、危及生命的出血的治疗。尽管进行了积极的手术治疗,但弥漫性出血仍在继续,于是启动了“紧急输血套餐”(5单位红细胞加5单位新鲜冰冻血浆加2单位血小板)治疗,随后输注纤维蛋白原并单次注射100微克/千克重组凝血因子VIIa。出血得到控制,患者康复,临床结果良好。