Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
702 8 |
Ultima descărcare din IBN: 2023-10-12 23:24 |
SM ISO690:2012 PLĂMĂDEALĂ, Svetlana, TĂZLĂVAN, Tatiana, CLIM, Alexandru, CONDRASOV, Alexandru. Coagulopatia în politraumă. In: Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale, 2010, nr. 3(26), pp. 185-192. ISSN 1857-0011. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale | |||||||
Numărul 3(26) / 2010 / ISSN 1857-0011 | |||||||
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Pag. 185-192 | |||||||
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Hemoragia este una dintre cele mai dramatice complicaţii ale pacientului politraumatizat şi este de cele mai dese ori cauzată de leziunea vasculară primară şi coagulopatie. Coagulopatia este unul din componentele triadei letale, la care se mai atribuie hipotermia şi acidoza. Dintre factorii de risc ai coagulopatiei fac parte: acidoza serică (pH<7,1), hipotermia (t<34ºC), gradul de leziune evaluat cu un ISS>25 şi (TAS)<70 mmHg. Tratamentul coagulopatiei este complex şi reiese din verigile patogenice. Corecţia acidozei, tratamentul hipotermiei, refacerea volemică, stabilizarea hemodinamică, restituirea precoce a deficitului de factori procoagulanţi şi corecţia funcţiei de transport al sângelui prin transfuzii de concentrat eritrocitar sunt elementele cheie ale terapiei intensive a pacientului cu politraumă, care are ca obiectiv primar asigurarea livrării de O2 sistemic şi favorizarea consumului periferic. |
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Cerif XML Export
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Dintre factorii de risc ai coagulopatiei fac parte: acidoza serică (pH<7,1), hipotermia (t<34ºC), gradul de leziune evaluat cu un ISS>25 şi (TAS)<70 mmHg. Tratamentul coagulopatiei este complex şi reiese din verigile patogenice. Corecţia acidozei, tratamentul hipotermiei, refacerea volemică, stabilizarea hemodinamică, restituirea precoce a deficitului de factori procoagulanţi şi corecţia funcţiei de transport al sângelui prin transfuzii de concentrat eritrocitar sunt elementele cheie ale terapiei intensive a pacientului cu politraumă, care are ca obiectiv primar asigurarea livrării de O2 sistemic şi favorizarea consumului periferic. </cfAbstr> <cfAbstr cfLangCode='EN' cfTrans='o'>Bleeding is one of the most live-threatening complications of trauma-related patient. The leading causes of the bleeding are primary vessel’s injury and coagulopathy. Coagulopathy in association with hypothermia and acidosis was defined as „lethal triad”. 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