Department of Obstetrics & Gynecology, The University of Texas Medical Branch at Galveston, 301 University Blvd., Galveston, TX 77555-0587, United States; Department of Anesthesiology, The University of Texas Medical Branch at Galveston, 301 University Blvd., Galveston, TX 77555-0587, United States.
Department of Obstetrics & Gynecology, The University of Texas Medical Branch at Galveston, 301 University Blvd., Galveston, TX 77555-0587, United States.
Semin Perinatol. 2019 Feb;43(1):22-26. doi: 10.1053/j.semperi.2018.11.005. Epub 2018 Nov 14.
Obstetrical hemorrhage is the most common cause of maternal mortality worldwide. Together with adequate surgical control and judicious transfusion of blood products, the use of pharmacological agents (e.g., tranexamic acid) and clotting factor concentrates (e.g., fibrinogen concentrates and prothrombin complex concentrates) results in improved hemostasis and decreased bleeding-associated mortality. Guidance in the administration of these agents with the use of viscoelastic testing will likely become standard of care in the near future.
产科出血是全球范围内导致产妇死亡的最常见原因。通过充分的外科控制和合理输血治疗，使用药物（如氨甲环酸）和凝血因子浓缩物（如纤维蛋白原浓缩物和凝血酶原复合物浓缩物）可以改善止血效果，降低与出血相关的死亡率。在不久的将来，使用黏弹性检测指导这些药物的使用可能会成为护理标准。
