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[Blood coagulation disorders in polytraumatized patients].

P Sefrin, D Brunswig

    Infusionstherapie Und Klinische Ernahrung
    |August 1, 1978
    PubMed
    Summary

    Coagulation disorders in polytraumatized patients can occur early during traumatic-hemorrhagic shock. Prompt treatment, adequate circulation, and low-dose heparin aid in correcting these hemostatic defects.

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    Area of Science:

    • Trauma surgery
    • Hematology
    • Critical care medicine

    Context:

    • Polytraumatized patients often develop coagulation disorders during traumatic-hemorrhagic shock.
    • These hemostatic defects are a significant source of complications.
    • Early detection and intervention are crucial for patient outcomes.

    Purpose:

    • To investigate the early onset and severity of coagulation disorders in polytraumatized patients.
    • To determine the relationship between injury severity and hemostatic changes.
    • To evaluate the efficacy of early shock treatment on coagulation recovery.

    Summary:

    • Blood-clotting tests were conducted on 71 polytraumatized patients.
    • Coagulation changes were observed even in the early stages of shock.
    • The degree of injury correlated with the extent of these hemostatic alterations.
    • Prompt shock management, adequate circulation, and low-dose heparin administration were found to be key factors for spontaneous hemostatic recompensation.

    Impact:

    • Highlights the importance of early coagulation monitoring in polytrauma.
    • Suggests therapeutic strategies including early resuscitation and low-dose heparin for managing coagulopathy.
    • Informs clinical practice for improving outcomes in patients with traumatic-hemorrhagic shock.

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