2015, Número S2
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Rev Mex Anest 2015; 38 (S2)
Coagulopatía secundaria a trauma
Carrillo-Esper R, Zepeda-Mendoza AD, Carrillo-Córdova DM, García de Alba-Graue P, Carrillo-Córdova CA
Idioma: Español
Referencias bibliográficas: 15
Paginas: 392-396
Archivo PDF: 195.18 Kb.
RESUMEN
La coagulopatía secundaria a trauma tiene una etiología multifactorial, destacando en su génesis la pérdida sanguínea, el consumo de factores de coagulación y plaquetas, la hemodilución, inflamación, lesión endotelial, hiperfibrinólisis, hipotermia, acidosis y alteraciones metabólicas. El tratamiento de la coagulopatía secundaria a trauma se basa en el uso racional de antifibrinolíticos sistémicos, hemostáticos locales y una terapia individualizada basada en el uso de concentrados de factores de coagulación de los que destacan el concentrado de complejo protrombínico y el concentrado de factor XII.
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