Sefrin P, Brunswig D, Seyboldt A
Chirurg. 1977 Apr;48(4):227-31.
Blood clotting tests in 55 polytraumatized patients showed that a lapse in the hemostatic potential may already occur at a very early stage of the traumatic-hemorrhagic shock. The extent of these changes which are complex in their pathogenesis, is closely related to the degree of injury. Coagulation-analysis control of the development shows clearly that shock treatment and maintenance of adequate circulation, starting at the earliest possible moment at the scene of the accident, are important for spontaneous recompensation of the hemostatic defect.
对55名多发伤患者进行的凝血测试表明,在创伤性失血性休克的极早期阶段,止血潜能可能就已出现下降。这些发病机制复杂的变化程度与损伤程度密切相关。对病情发展的凝血分析控制清楚地表明,从事故现场尽早开始进行休克治疗并维持充足的循环,对于止血缺陷的自发代偿非常重要。