相关实验视频
Updated: Jun 14, 2025

06:47
Microfluidics in Assessing Platelet Function
Published on: November 8, 2024
810
在儿科创伤患者中评估急性创伤性凝血病
Yavuz Selim Ayhan1, Ali Korulmaz2, Ali Ertuğ Arslankoylu3
1Private Ruha Academia Hospital, Şanlıurfa-Türkiye.
概括
急性创伤性凝血病 (ATC) 影响超过一半的儿科创伤患者,增加死亡风险. 国际正常化比率 (INR) 有效地预测了这些关键病例的预后.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 创伤外科 手术 创伤外科
- 血液学 血液学 血液学
背景情况:
- 急性创伤性凝血病 (ATC) 是儿童创伤的一个重大问题.
- 了解ATC对预后的影响对于有效管理至关重要.
研究的目的:
- 为了评估儿科创伤患者的ATC.
- 评估凝血病发现对预后的预测价值.
主要方法:
- 对282名儿科创伤患者 (1个月-18岁) 的回顾性分析.
- 收集的人口,创伤,临床和实验室数据,包括评分系统 (GCS,ISS,PTS,PIM2,PELOD).
- 统计分析了变量与ATC发展之间的关系.
主要成果:
- 在66.8%的患者中检测到ATC.
- 在ATC和非ATC组之间,温度,血液产品输血,ICU停留,GCS,PTS,ISS,PIM2,PELOD,肌素,AST,ALT,pH和HCO3的显著差异.
- 在ATC患者中观察到较高的死亡率和输血率.
结论:
- 儿童创伤患者需要密切监测凝血病.
- 国际规范化比率 (INR) 是预后的可靠的独立预测指标.
- 输血患者的死亡率较高.
相关概念视频
Coagulation
5.6K
The coagulation phase is a critical part of the body's process to prevent blood loss following injury to blood vessels. It involves chemical reactions that form a clot to seal the injured area. The clotting process begins shortly after injury, within 15-20 seconds for severe damage and 1-2 minutes for minor injuries.
During the coagulation phase, clotting factors, or procoagulants, play a vital role in initiating and progressing the coagulation cascade. This cascade is a series of reactions...
During the coagulation phase, clotting factors, or procoagulants, play a vital role in initiating and progressing the coagulation cascade. This cascade is a series of reactions...
5.6K
Extrinsic and Intrinsic Pathways of Hemostasis
6.5K
Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
6.5K
Introduction to Hemostasis
6.6K
Hemostasis is a complex physiological process that prevents excessive bleeding when a blood vessel is injured. It's crucial for maintaining the integrity of the circulatory system, as it ensures that our blood remains fluid while still within the vascular network and yet clots to prevent blood loss upon vessel injury.
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
6.6K

