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SM ISO690:2012 CIOBANU, Gheorghe. Managementul coagulopatiilor induse de traumatismele majore. Ghid european actualizat (2010). In: Sănătate Publică, Economie şi Management în Medicină , 2012, nr. 3(42), pp. 160-166. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 3(42) / 2012 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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Pag. 160-166 | ||||||
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Injuries are expected to rise in the next 20 years, but comprise almost 10% of the world’s death at the moment. People aged 15-44 account for 50% of global trauma mortality. Uncontrolled haemorrhage accounts for around 40% of mortality in major trauma and the survival rate for trauma patients requiring massive transfusion is around 50%. The main objectives can be summarized as follows: • Achieving rapid haemostasis; • Restoring and maintaining tissue oxygen delivery; • Restoring and maintaining normal clotting function; • Restoring and maintaining normal tissue perfusion Aggressive correction of hypothermia, coagulopathy and acidosis are essential to reduce the morbidity and mortality associated with post-traumatic multiorgan failure. |
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Cuvinte-cheie management, bleeding trauma, hypothermia, coagulopathy, acidosis |
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<?xml version='1.0' encoding='utf-8'?> <oai_dc:dc xmlns:dc='http://purl.org/dc/elements/1.1/' xmlns:oai_dc='http://www.openarchives.org/OAI/2.0/oai_dc/' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xsi:schemaLocation='http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd'> <dc:creator>Ciobanu, G.C.</dc:creator> <dc:date>2012-05-04</dc:date> <dc:description xml:lang='en'><p>Injuries are expected to rise in the next 20 years, but comprise almost 10% of the world’s death at the moment. People aged 15-44 account for 50% of global trauma mortality. Uncontrolled haemorrhage accounts for around 40% of mortality in major trauma and the survival rate for trauma patients requiring massive transfusion is around 50%. The main objectives can be summarized as follows: • Achieving rapid haemostasis; • Restoring and maintaining tissue oxygen delivery; • Restoring and maintaining normal clotting function; • Restoring and maintaining normal tissue perfusion Aggressive correction of hypothermia, coagulopathy and acidosis are essential to reduce the morbidity and mortality associated with post-traumatic multiorgan failure.</p></dc:description> <dc:description xml:lang='ru'><p>Травматические повреждения, составляя 10% от общей смертности на сегодняшний день, имеют тенденцию к росту в последние 20 лет во всем мире. Пострадавшие в возрасте 15-44 года составляют 50% из всех случаев смерти после травм. Неконтролируемые посттравматические кровотечения являются основной причиной смертности у 40% больных, а 50% из них нуждаются в массивных гемотрансфузиях. Основные принципы лечения посттравматических массивных кровотечений состоят из: - обеспечения оперативного гемостаза, - восстановления и поддержания оптимального уровня доставки кислорода к тканям, - восстановление и поддержание адекватной перфузии тканей и органов. Агрессивная коррекция гипотермии, коагулопатии и ацидоза является основным ключевым элементом в снижении заболеваемости и смертности, вызванной развитием полиорганной недостаточности.</p></dc:description> <dc:source>Sănătate Publică, Economie şi Management în Medicină 42 (3) 160-166</dc:source> <dc:subject>management</dc:subject> <dc:subject>bleeding trauma</dc:subject> <dc:subject>hypothermia</dc:subject> <dc:subject>coagulopathy</dc:subject> <dc:subject>acidosis</dc:subject> <dc:title>Managementul coagulopatiilor induse de traumatismele majore. Ghid european actualizat (2010)</dc:title> <dc:type>info:eu-repo/semantics/article</dc:type> </oai_dc:dc>