"凝血":用于治疗创伤性脑损伤后的凝血障碍的记忆装置 - - 一种在重症监护病房的基于叙事的方法
Manuel Quintana-Diaz1,2,3, Pasquale Anania4, Raúl Juárez-Vela3,5,6
1Department of Medicine, Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain.
Frontiers in public health
|December 21, 2023
概括
创伤性脑损伤 (TBI) 中的凝血病复杂化了结果. 一个新的记忆缩写",凝血",通过总结TBI相关的凝血病的关键管理因素来帮助临床医生.
科学领域:
- 神经创伤是一种神经创伤.
- 血液学 血液学 血液学
- 关键护理医学 关键护理医学
背景情况:
- 与孤立创伤性脑损伤 (C-iTBI) 相关的凝血病是与患者的不良结果相关的重大并发症.
- 它主要与出血性脑损伤的发展和进展有关.
- 风险因素包括年龄,TBI严重程度,复苏液体体积和伤害前使用抗血栓药物.
研究的目的:
- 为临床医生开发一种记忆设备,以协助管理C-iTBI.
- 创建一个辅助工具,用于治疗TBI患者的凝血病.
主要方法:
- 进行了涉及重症监护医生的叙事分析.
- 医生被要求确定与C-iTBI相关的关键因素.
- 鉴定出的因素与已发表的证据进行了质量检查.
主要成果:
- 确定了11个关键因素:脑电脑断层扫描,口服抗凝剂和抗血小板剂的使用,动脉血压 (低血压),目标定向的静血疗法,谨慎的液体使用,低水平,贫血输血,温度,国际正常化比率 (INR),口服抗血栓逆转和正常的酸状态.
- 这些因素被合成成记忆力缩写"凝血".
结论:
- "凝血"的缩写作为一个简单的,适用的记忆装置.
- 它旨在支持临床医生日常管理中度至重度TBI患者的凝血病.
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