Hypothermia, coagulopathy, and acidosis

被引：128

作者：

Eddy, VA ^{[1
]}

Morris, JA ^{[1
]}

Cullinane, DC ^{[1
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Dept Surg, Sect Surg Sci,Div Trauma, Nashville, TN 37212 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2000年 / 80卷 / 03期

关键词：

D O I：

10.1016/S0039-6109(05)70099-2

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Improvements in operative techniques and resuscitation strategies now allow the severely and multiply injured patient to survive long enough to exhibit extreme derangements in physiology that would have been considered unusual in the past. The triad of hypothermia, coagulopathy, and acidosis now is encountered often in this setting. This article describes the evaluation and management options currently used to manage patients with this deadly triad.

引用

页码：845 / +

页数：11

共 40 条

[1] Management of life-threatening acid-base disorders - First of two parts [J].

Adrogue, HJ ;

Madias, NE .

NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (01) :26-34

[2]

ADROGUE HJ, 1988, AM J PHYSIOL, V255, P812

[3]

BERNSTEIN MJ, 1987, JAMA-J AM MED ASSOC, V257, P1777

[4]

CADY LO, 1983, CRIT CARE MED, V1, P75

[5] Predicting life-threatening coagulopathy in the massively transfused trauma patient: Hypothermia and acidoses revisited [J].

Cosgriff, N ;

Moore, EE ;

Sauaia, A ;

KennyMoynihan, M ;

Burch, JM ;

Galloway, B .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1997, 42 (05) :857-861

[6] HEMOSTASIS IN MASSIVELY TRANSFUSED TRAUMA PATIENTS [J].

COUNTS, RB ;

HAISCH, C ;

SIMON, TL ;

MAXWELL, NG ;

HEIMBACH, DM ;

CARRICO, CJ .

ANNALS OF SURGERY, 1979, 190 (01) :91-99

[7] OXYGEN DEBT AND METABOLIC ACIDEMIA AS QUANTITATIVE PREDICTORS OF MORTALITY AND THE SEVERITY OF THE ISCHEMIC INSULT IN HEMORRHAGIC-SHOCK [J].

DUNHAM, CM ;

SIEGEL, JH ;

WEIRETER, L ;

FABIAN, M ;

GOODARZI, S ;

GUADALUPI, P ;

GETTINGS, L ;

LINBERG, SE ;

VARY, TC .

CRITICAL CARE MEDICINE, 1991, 19 (02) :231-243

[8] Abdominal compartment syndrome - The Nashville experience [J].

Eddy, V ;

Nunn, C ;

Morris, JA .

SURGICAL CLINICS OF NORTH AMERICA, 1997, 77 (04) :801-&

[9]

EVANS L, 1991, TRAFFIC SAFETY DRIVE, P154

[10] CONTINUOUS ARTERIOVENOUS REWARMING - RAPID REVERSAL OF HYPOTHERMIA IN CRITICALLY ILL PATIENTS [J].

GENTILELLO, LM ;

COBEAN, RA ;

OFFNER, PJ ;

SODERBERG, RW ;

JURKOVICH, GJ .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1992, 32 (03) :316-327

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