摘要自从损伤控制性复苏的概念提出以来,临床工作中对于出现"死亡三联征"的严重创伤患者多采用它进行救治,以纠正低体温和酸中毒为中心.随着创伤外科学的不断发展,早期纠正凝血障碍在复苏过程中的关键作用渐渐浮出水面,该文将针对损伤控制性复苏中:(1)早期纠正凝血障碍的重要性;(2)纠正凝血障碍的恰当时机;(3)纠正凝血障碍的复苏方案,进行分析并提出相应的解决建议.

abstractsAfter the concept of damage control resuscitation is introduced, in the most severely injured casualties, when the lethal triad of hypothennia, acidosis, and coagulopathy are present, resuscitation prac-tice for damage control usually focuses on rapid reversal of acidosis and prevention of hypothermia, while di-rect treatment of eoagulopathy has been relatively neglected. Recent studies have brought back to light the importance of treating the coagulopathy of trauma at an earlier stage. This review focused on the importance and the right time of treating this disorder, analyzed the methods of addressing the early coagalopathy in damage control resuscitation and gave some advices.