美国标准的儿科创伤患者全血输注

N. Matolinets, S. Dubrov, J. Holcomb
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引用次数: 0

摘要

俄乌全面战争已经持续了大约9个月。乌克兰的城市几乎每天都遭受敌人的导弹和无人机袭击,因此,平民成为敌对行动的受害者。在这些条件下,矿井爆炸伤害的发生率非常高。不幸的是,这种类型的伤害往往伴随着大量出血,这迫使在治疗策略作出修改。根据世界标准,这类患者的第一次输注溶液应该是全血,因为它有很多优点。在利沃夫的急诊和重症监护多学科临床医院,几乎从战争开始的第一天起,就对所有年龄组的病人采用了这一策略。在本文中,我们提出了一个令人信服的证据基础,使用全血的优势,并在儿科患者使用全血输注的临床病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
WHOLE BLOOD TRANSFUSIONS FOR PEDIATRIC TRAUMA PATIENTS ACCORDING TO AMERICAN STANDARDS
A full-scale russian-Ukrainian war has been going on for about nine months. Almost every day, Ukrainian cities suffer from enemy raids of missiles and drones, as a result, civilians become victims of hostilities. The prevalence of mine blast injury in these conditions is extremely high. Unfortunately, this type of injury is often accompanied by massive bleeding, which forces to make amendments in a treatment strategy. According to world standards, the first infusion solution for this category of patients should be whole blood, because of its numerous advantages. At the Multidisciplinary Clinical Hospital of Emergency and Intensive Care in Lviv, this strategy has been used almost since the first days of the war for patients of all age groups. In the article, we present a convincing evidence base of the advantages of using whole blood, as well as a clinical case of using whole blood infusion in a pediatric patient.
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