Hematological laboratory contribution to the survival of multiply injured patients
Journal Title: Αρχεία Ελληνικής Ιατρικής - Year 2009, Vol 26, Issue 1
Abstract
Measurement of the full blood count-hematocrit, hemoglobin, platelets and coagulation-fibrinolysis markers carried out in the Hematological Laboratory are critical for the treatment of the multiply injured patient. Coagulation disorders associated with major blood loss are (a) consumption of coagulation factors and platelets, (b) reduction of coagulation factors and platelets due to hemodilution, (c) functional abnormality of platelets, (d) dysfunction in coagulation pathways, (e) increased fibrinolytic activity, (f ) hypocalcemia, and (g) disseminated intravascular coagulation (DIC). Hypothermia and metabolic acidosis following injury may burden the patient’s condition, interfering in the coagulation cascade. Consumption of coagulation factors and platelets cause severe bleeding. The survival of the multiply injured patient depends on many parameters. The hematological laboratory contributes to the early diagnosis of anemia and coagulation disorders playing a critical role in the treatment and survival of multiply injured patients.
Authors and Affiliations
S. CHANIOTAKI, E. PAPAKONSTANTINOU, A. SKOURBOUTI, P. GEORGOUTSOU, K. SAFIOLEAS, C. MANTI
Το έλλειμμα επικοινωνίας στην εποχή της επικοινωνίας.<br />
Theory of statistical models
The application of the theory of the statistical models in the health field attempts to give answers to several important problems, one of which is that of the causes leading to the appearance of an illness. For this aim...
Απορώ και εκπλήσσομαι
A historical account of modern hellenic medical diaspora
There has been an increasing interest in recent years on the Greek diaspora. Very little is known, however, about the role of Greek physicians and biomedical scientists of the diaspora and their contributions. The physic...
Ventilatory response to exercise as an independent predictor of long-term survival in chronic heart failure
OBJECTIVE Patients with chronic heart failure (CHF) present exercise-induced hyperpnea, but the predictive role of this abnormal ventilatory response in risk stratification and its pathophysiological mechanism have not b...