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2014, Número S2

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Rev Mex Anest 2014; 37 (S2)


Manejo de hemorragia crítica en cirugía de trauma

Zepeda-Mendoza AD, Carrillo-Esper R

Idioma: Español
Referencias bibliográficas: 55
Paginas: 393-399
Archivo PDF: 210.64 Kb.


RESUMEN

La hemorragia masiva es una complicación común en múltiples escenarios clínicos, uno de ellos es la lesión traumática, donde la hemorragia es responsable de casi el 50% de las muertes que se producen dentro de las primeras 24 horas posteriores a la lesión y hasta el 80% de estas muertes se producen en el perioperatorio, por lo que el uso de componentes sanguíneos antes y después del control de la hemorragia masiva es prioritaria en estos escenarios. Ya que una cuarta parte de las muertes se relacionan con la coagulopatía y la pérdida de sangre no controlada que puede ser prevenible. Por esta razón, el tratamiento de la coagulopatía y el control hemostático son necesarios para reducir la mortalidad debido a la exanguinación.


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