Cantle Paul M, Cotton Bryan A
Department of Surgery, University of Texas Mcgovern Medical School, 6431 Fannin, Room 4.286, Houston, TX 77030, USA.
Department of Surgery, University of Texas Mcgovern Medical School, 6431 Fannin, Room 4.286, Houston, TX 77030, USA.
Crit Care Clin. 2017 Jan;33(1):71-84. doi: 10.1016/j.ccc.2016.08.002.
Hemorrhage is the leading cause of preventable death in trauma. Damage control resuscitation relies on permissive hypotension, minimizing crystalloid use, and early implementation of massive transfusion protocols with established blood component ratios. These protocols improve the survival of the severely injured patient. Trauma physicians must quickly and accurately predict when a massive transfusion protocol should be activated. Several validated transfusion scores have been developed for this purpose. Many of these scores are useful for resuscitation research. One option, the ABC score, is an accurate, validated, and clinically useful score that is simple to calculate and rapidly obtained.
出血是创伤中可预防死亡的主要原因。损伤控制复苏依赖于允许性低血压、尽量减少晶体液的使用以及早期实施具有既定血液成分比例的大量输血方案。这些方案可提高重伤患者的生存率。创伤医生必须快速准确地预测何时应启动大量输血方案。为此已经开发了几种经过验证的输血评分。其中许多评分对复苏研究很有用。一种选择是ABC评分，它是一种准确、经过验证且临床实用的评分，计算简单且能快速获得。
