Sawyer Michael M, Myers Greg, Humphrey Jack, Chandler Mark
Denver Health and Hospital, Denver, CO 80204, USA.
Semin Cardiothorac Vasc Anesth. 2012 Sep;16(3):142-52. doi: 10.1177/1089253212446994. Epub 2012 Jun 7.
Bleeding disorders associated with trauma are of paramount importance when dealing with the acutely injured individual. Statistically, up to 40% of trauma related deaths are assumed to be related to hemorrhage. Historically, there have been many varying positions on the way to handle this entity. Ironically, it is not always the injury but the physiologic sequelae of that injury that lead to trauma associated deaths. Over time, newer theories have been developed to help the clinician begin to understand the etiology and treatment of this process. The purpose of this paper is to review current literature and explain how these new concepts helped change practice in an urban, academic, Level One Trauma Center.
在处理急性受伤患者时，与创伤相关的出血性疾病至关重要。据统计，高达40%的创伤相关死亡被认为与出血有关。从历史上看，在处理这一情况的方式上存在许多不同的观点。具有讽刺意味的是，导致创伤相关死亡的并不总是损伤本身，而是该损伤的生理后遗症。随着时间的推移，已经形成了新的理论来帮助临床医生开始理解这一过程的病因和治疗方法。本文的目的是回顾当前的文献，并解释这些新概念如何帮助改变了一家城市一级学术创伤中心的实践。
