Shamsi Tahir, Tufail Mohammad, Aftab Mariam, Ansari Saqib
Bismillah Taqee Institute of Health Sciences and Blood Diseases Centre, Karachi.
J Pak Med Assoc. 2006 May;56(5):238-41.
Uncontrolled bleeding is the leading cause of mortality in the trauma victims. Massive bleeding after traumatic injury is a result of surgical and coagulopathic bleeding. We describe a case of gun shot injury brought to the hospital in a collapsed state because of massive blood loss in the abdominal cavity. Surgical intervention secured the surgical bleeding but coagulopathic bleeding continued which was controlled with Recombinant activated factor VII (rFVIIa). Guidelines of the use of factor VII in trauma are presented.
失控性出血是创伤患者死亡的主要原因。创伤后大出血是手术出血和凝血功能障碍性出血的结果。我们描述了一例因腹腔大量失血而处于昏迷状态被送至医院的枪伤病例。手术干预止住了手术出血，但凝血功能障碍性出血仍在继续，使用重组活化因子VII（rFVIIa）后出血得到控制。本文介绍了创伤中使用因子VII的指南。
