Застосування свіжої цільної крові для ресусцитації при масивній крововтраті

Автор(и)

  • Ф. С. Глумчер Національний медичний університет імені О.О. Богомольця, Київ, Україна

DOI:

https://doi.org/10.25284/2519-2078.1(78).2017.103024

Ключові слова:

кровотеча, масивні гемотрансфузії, свіжа цільна кров, кoмпоненти крові, індукована травмою коагулопатія

Анотація

Свіжа цільна кров почала використовуватися для лікування кровотеч більше ніж 100 років тому. Однак потім поширилася практика застосування компонентної терапії препаратами крові – це консервовані еритроцити, свіжозаморожена плазма, тромбоцити, кріопреципитат. Однією з головних проблем при масивних  гемотрансфузіях є індукована травмою коагулопатія. З метою її профілактики та лікування при масивних гемотрансфузіях останнім часом рекомендують використовувати компоненти крові у співвідношенні еритроцити:СЗП:тромбоцити – 1:1:1. Але, по-перше, це далеко не завжди мо жливо внаслідок дефіциту компонентів крові, і, крім того, такі співвідношення наближаються до тих, які вже існують в цільній крові. Останнім часом, поширюється думка, що перехід на компонентну терапію далеко не завжди себе виправдовує, а свіжа цільна кров набагато ефективніша, ніж компонентна терапія для лікування індукованої травмою коагулопатії. Показання до застосування, переваги и недоліки свіжої цільної крові являються темою цього огляду.

Біографія автора

Ф. С. Глумчер, Національний медичний університет імені О.О. Богомольця, Київ

Глумчер Ф.С.

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Опубліковано

2017-05-12

Як цитувати

Глумчер, Ф. С. (2017). Застосування свіжої цільної крові для ресусцитації при масивній крововтраті. PAIN, ANAESTHESIA & INTENSIVE CARE, (1(78), 7–16. https://doi.org/10.25284/2519-2078.1(78).2017.103024

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