Ukontrollabel blödning hos en patient med hovedtraume behandlet med blodkomponentterapi vejledt af tromboelastografi
Engelsk titel: Uncontrollable bleeding in a patient with head trauma treated with blood component therapy guided by thromboelastography
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Författare:
Koch Hansen M
;
Kjaer Jensen M
;
Andersen C
Email: kjaerscherer@dadlnet.dk
Språk: Dan
Antal referenser: 4
Dokumenttyp:
Fallbeskrivning
UI-nummer: 06101106
Sammanfattning
This is a case report concerning a patient with traumatic uncontrolled bleeding. The patient was admitted with a severe head injury and facial fractures. During neurosurgery, the bleeding became life-threatening and there was a request for recombinant factor VIIa therapy (NovoSeven®). Before the treatment, thromboelastography was performed. This showed platelet insufficiency, and after infusion of platelets, the bleeding was under control and there was no longer a need for recombinant factor VIIa therapy. We therefore recommend thromboelastography to evaluate coagulation status before treatment with recombinant factor VIIa.