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输血对多发伤患者凝血变化的影响(作者译)

[The influence of blood transfusions on changes of the coagulation in polytraumatized patients (author's transl)].

作者信息

Sefrin P, Brunswig D, Hauptvogel S

出版信息

Anaesthesist. 1977 Jun;26(6):288-94.

PMID:883610
Abstract

In 55 polytraumatized patients blood clotting tests were performed and analyzed in relation to the severity of the injuries and traumatic-hemorrhagic shock and the amount of homologus blood transfused. The degree of the changes of the clotting parameters was found to depend mainly on the severity of shock. The amount of transfused blood had of no influence. The results indicate the importance of an early i.v. fluid therapy corresponding to the demand of volume and the replacement of blood lost by haemorrhage.

摘要

对55例多发伤患者进行了凝血功能检测,并根据损伤严重程度、创伤性失血性休克及同源输血的量进行了分析。发现凝血参数的变化程度主要取决于休克的严重程度。输血量没有影响。结果表明,早期静脉补液治疗应根据容量需求和出血导致的失血量进行补充,这一点很重要。

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