Mathews Marlon, Newman Richard, Chappell E Thomas
Department of Neurosurgery, University of California, Irvine, CA 92868, USA.
Neurocrit Care. 2006;5(2):141-52. doi: 10.1385/NCC:5:2:141.
Blood coagulation and hemostasis issues are important aspects of patient care in acute neurosurgical patients. Coagulopathy often complicates the already difficult management of cerebrovascular and intracranial hemorrhagic disease and injuries, adding to the already high associated morbidity and mortality. Common causes of coagulopathy, as well as its management in acute neurosurgical settings, are outlined in this review. Awareness of how to promptly evaluate and effectively treat coagulopathic processes is instrumental to the success of the neurosurgeon in managing acute intracranial pathologies.
凝血和止血问题是急性神经外科患者护理的重要方面。凝血功能障碍常常使脑血管和颅内出血性疾病及损伤本就困难的管理变得更加复杂，进一步增加了已有的高发病率和死亡率。本综述概述了凝血功能障碍的常见原因及其在急性神经外科环境中的管理。了解如何及时评估和有效治疗凝血功能障碍过程对于神经外科医生成功处理急性颅内病变至关重要。
