創傷和急診醫學科
止血的管理和優化
中文繁體（國語）
止血的管理和優化
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創傷和急診醫學科

止血的管理和優化

抗纖溶藥物

Strategies to prevent blood loss and reduce transfusion in emergency general surgery, WSES-AAST consensus paper. （開啟新視窗）

Coccolini F, Shander A, Ceresoli M, Moore E, Tian B, Parini D, Sartelli M, Sakakushev B, Doklestich K, Abu-Zidan F, Horer T, Shelat V, Hardcastle T, Bignami E, Kirkpatrick A, Weber D, Kryvoruchko I, Leppaniemi A, Tan E, Kessel B, Isik A, Cremonini C, Forfori F, Ghiadoni L, Chiarugi M, Ball C, Ottolino P, Hecker A, Mariani D, Melai E, Malbrain M, Agostini V, Podda M, Picetti E, Kluger Y, Rizoli S, Litvin A, Maier R, Beka SG, De Simone B, Bala M, Perez AM, Ordonez C, Bodnaruk Z, Cui Y, Calatayud AP, de Angelis N, Amico F, Pikoulis E, Damaskos D, Coimbra R, Chirica M, Biffl WL, Catena F

來源‎: World J Emerg Surg 2024;19(1):26.

Alternatives to allogeneic platelet transfusion. （開啟新視窗）

Desborough MJ, Smethurst PA, Estcourt LJ, Stanworth SJ.

來源‎: Br J Haematol 2016;175(3):381-92.

Antifibrinolytic drugs for acute traumatic injury. （開啟新視窗）

Ker K, Roberts I, Shakur H, Coats TJ.

來源‎: Cochrane Database Syst Rev 2015;(5):CD004896.

Association of cryoprecipitate and tranexamic acid with improved survival following wartime injury: findings from the MATTERs II Study. （開啟新視窗）

Morrison JJ, Ross JD, Dubose JJ, Jansen JO, Midwinter MJ, Rasmussen TE.

來源‎: JAMA Surg 2013;148(3):218-25.

The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2 randomised controlled trial. （開啟新視窗）

Roberts I, Shakur H, Afolabi A, Brohi K, Coats T, Dewan Y, Gando S, Guyatt G, Hunt BJ, Morales C, Perel P, Prieto-Merino D, Woolley T; CRASH-2 collaborators.

來源‎: Lancet 2011;377(9771):1096-101, 1101.e1-2.

重組活化凝血因子VII（rFVIIa）

The treatment of bleeding is to stop the bleeding! Treatment of trauma-related hemorrhage. （開啟新視窗）

Boffard KD, Choong PI, Kluger Y, Riou B, Rizoli SB, Rossaint R, Warren B; NovoSeven Trauma Study Group.

來源‎: Transfusion 2009;49 Suppl 5:240S-7S.

凝血因子濃縮劑

The exclusive use of coagulation factor concentrates enables reversal of coagulopathy and decreases transfusion rates in patients with major blunt trauma. （開啟新視窗）

Innerhofer P, Westermann I, Tauber H, Breitkopf R, Fries D, Kastenberger T, El Attal R, Strasak A, Mittermayr M.

來源‎: Injury 2013;44(2):209-16.

去氨加壓素

Strategies to prevent blood loss and reduce transfusion in emergency general surgery, WSES-AAST consensus paper. （開啟新視窗）

Coccolini F, Shander A, Ceresoli M, Moore E, Tian B, Parini D, Sartelli M, Sakakushev B, Doklestich K, Abu-Zidan F, Horer T, Shelat V, Hardcastle T, Bignami E, Kirkpatrick A, Weber D, Kryvoruchko I, Leppaniemi A, Tan E, Kessel B, Isik A, Cremonini C, Forfori F, Ghiadoni L, Chiarugi M, Ball C, Ottolino P, Hecker A, Mariani D, Melai E, Malbrain M, Agostini V, Podda M, Picetti E, Kluger Y, Rizoli S, Litvin A, Maier R, Beka SG, De Simone B, Bala M, Perez AM, Ordonez C, Bodnaruk Z, Cui Y, Calatayud AP, de Angelis N, Amico F, Pikoulis E, Damaskos D, Coimbra R, Chirica M, Biffl WL, Catena F

來源‎: World J Emerg Surg 2024;19(1):26.

Desmopressin is a transfusion sparing option to reverse platelet dysfunction in patients with severe traumatic brain injury. （開啟新視窗）

Furay EJ, Daley MJ, Satarasinghe P, Lara S, Aydelotte JD, Teixeira PG, Coopwood TB, Ali S, Brown CVR

來源‎: J Trauma Acute Care Surg 2020;88(1):80-6.

利用血液粘彈性檢測辨別外科性出血或凝血病出血

Successful rotational thromboelastometry-guided treatment of traumatic haemorrhage, hyperfibrinolysis and coagulopathy. （開啟新視窗）

Brenni M, Worn M, Brüesch M, Spahn DR, Ganter MT.

來源‎: Acta Anaesthesiol Scand 2010;54(1):111-7.

醫院聯絡委員會（HLC）

聯絡本地代表，他們提供免費服務，協助治療耶和華見證人的臨床醫療人員。

聯絡

醫療資訊匯總

內容包括：處理出血和貧血的無輸血醫療臨床策略，耶和華見證人在醫療事務方面的宗教和倫理立場，耶和華見證人通過全球醫院聯絡委員會系統為醫學界提供的服務。

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影片

治療耶和華見證人的臨床醫療人員可選擇的治療方法，以及需要考慮的醫學和倫理因素。

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