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Abstract
Objectives
1. Study on hemostatic disorders of patients with polytrauma in the intensive care unit, Hue Central Hospital.
2. Survey the correlation between hemostatic disorders with severity of polytrauma (through index ISS).
Subjects and methods
44 patients were diagnosed with polytrauma due to traffic accidents or activities accidents and were treated at the intensive care unit of Hue Central Hospital from August 2018 to April 2019.
Cross-sectional descriptive study.
Results and conclusion:
- Primary hemostatic disorders: platelet count decreased 20.5%, partial clot contraction was 18.2% and no clot contraction was 2.3%.
- Secondary coagulation disorders: exogenous clotting disorders accounted for 29.5%, endogenous clotting disorders accounted for 11.4%, decreased plasma fibrinogen concentration 13.6%.
- Fibrinolytic disorders: positive D - dimer accounts for 4.5%, percentage of positive FDP 4.5% and 4.5% of patients with polytrauma were scattered complicated by disseminated intravascular coagulation.
- The number of platelets: Survey correlation coefficient r = - 0.601, regression equation y = -3.9083 x + 297.37 .
- The rate of prothrombin: Survey correlation coefficient r = - 0.628, regression equation y = -1.0838 x + 102.59.
- APTT(actived Partial Thromboplastin Time) : Survey correlation coefficient r = 0.707, y = 0.87 x +16.63.
- Fibrinogen plasma : Survey correlation coefficient r = - 0.245, regression equation y = -0.0259 x +3,6337.
References
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| Published | 11-01-2025 | |
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| Issue | No. 57 (2019) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2019.57.6 | |
| Keywords | Từ khóa: Đa chấn thương, rối loạn cầm máu. Keywords: Polytrauma trauma, hemostatic disorders. |
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