Viscoelastic hemostasis assay guided diagnosis and treatment of trauma-induced coagulopathy
Journal Title: Journal of Surgery : Concepts & Practice - Year 2023, Vol 28, Issue 5
Abstract
The diagnosis and treatment of trauma-induced coagulopathy is an important part of the treatment of severe trauma patients. Trauma-induced coagulopathy has two phenotypes: hypercoagulability and hypocoagulability. The phenotype of coagulopathy in the early stage of trauma patients is variable. Viscoelastic hemostatic assay can reflect the full picture of coagulation in trauma patients. It can guide clinicians to quickly identify different phenotypes of trauma-induced coagulopathy, and fine manage different phenotypes of coagulopathy. This paper introduced the detection methods and principles of common viscoelastic hemostasis assays, and summarized the diagnosis and treatment methods based on viscoelastic hemostasis assay in different phenotypes of trauma-induced coagulopathy from literature, aimed to provide elicitation of diagnosis and treatment for clinicians.
Authors and Affiliations
Tuo SHEN, Feng ZHU
Etiological analysis of elevation of bile amylase level in patients with normal pancreaticobiliary junction and endoscopic treatment
[Objective] To investigate the cause of elevation of bile amylase level in patients with normal pancreaticobiliary junction and the effect of endoscopic treatment. [Methods] The clinical data of 96 patients with normal p...
Clinical observation on the efficacy of non-lactating mastitis treated with staged surgery
[Objective] To explore the clinical efficacy of staged surgery for non-lactating mastitis. [Methods] A retrospective analysis was conducted on 317 patients with non-lactating mastitis admitted to our department from Janu...
Clinical value of profunda femoral vein thrombosis clearance in endovascular treatment of acute lower extremity deep vein thrombosis
[Objective] To evaluate the safety and efficacy of profunda femoral vein thrombosis clearance in endovascular treatment of acute lower [e] xtremity deep venous thrombosis (DVT). [Methods] From January 2022 to September 2...
Laparoscopic radical resection of hilar cholangiocarcinoma: current status and considerations
Laparoscopic radical resection of hilar cholangiocarcinoma was complex because of the tumor near to hepatic hilum. The resection of hilar cholangiocarcinoma increased in recent years in large medical centers with safety...
Advances of protein lysine methyltransferases in thyroid carcinoma
Protein lysine methyltransferases (PKMT) catalyze methylation of lysine residues on histone tails and non-histone targets. These important post-translational modifications affect the structure and compactness of chromati...