Morel N, Morel O, Chimot L, Lortet V, Julliac B, Lelias A, Merson L, Dabadie Ph
Pôle des urgences adultes, service de réanimation des urgences, hôpital Pellegrin, place Amélie-Raba-Léon, Bordeaux cedex, France.
Ann Fr Anesth Reanim. 2009 Mar;28(3):222-30. doi: 10.1016/j.annfar.2008.12.023. Epub 2009 Mar 10.
In spite of continuous progress in surgery and in interventional radiology, massive haemorrhage remains a leading cause of death in traumatology. The transfusional strategy appears a key step in the treatment of haemorrhagic shock. In the light of new insights into the pathophysiology of coagulopathies associated with traumatic shock it seems reasonable to transfuse patients with haemorrhagic shock earlier than previously recommended.
尽管外科手术和介入放射学不断取得进展，但大出血仍是创伤学中主要的死亡原因。输血策略似乎是失血性休克治疗中的关键一步。鉴于对创伤性休克相关凝血病病理生理学的新认识，在失血性休克患者中比以前推荐的时间更早进行输血似乎是合理的。
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