Davis Dawn T, Johannigman Jay A, Pritts Timothy A
Department of Surgery, Cincinnati Veterans Administration Medical Center, Ohio, USA.
J Trauma Nurs. 2012 Apr-Jun;19(2):69-75. doi: 10.1097/JTN.0b013e318256293e.
Trauma continues to be the leading cause of death among those younger than 40 years. A major cause of death within the first 24 hours is hemorrhage. Many of these patients present with severe coagulopathy and require massive transfusion. Earlier control of coagulopathy has been shown to improve survival. To address coagulopathy sooner, changes in the way we identify and resuscitate the exsanguinating trauma patient have evolved. These changes include early identification of at-risk patients and early, aggressive transfusion of plasma and platelets. This article reviews the key massive transfusion triggers and resuscitation strategy of damage control resuscitation.
创伤仍然是40岁以下人群的主要死因。在最初24小时内，主要死因是出血。这些患者中有许多人存在严重的凝血病，需要大量输血。已证明早期控制凝血病可提高生存率。为了更快地处理凝血病，我们识别和复苏正在大量失血的创伤患者的方式已经发生了变化。这些变化包括早期识别高危患者以及早期积极输注血浆和血小板。本文综述了大量输血的关键触发因素及损伤控制复苏的复苏策略。
