The coagulopathy of cardiopulmonary bypass

被引:63
作者
Besser, Martin W. [1 ]
Klein, Andrew A. [2 ]
机构
[1] Addenbrookes Hosp, Dept Haematol, Cambridge CB2 2QQ, England
[2] Papworth Hosp, Dept Cardiovasc Anaesthesiol, Papworth Everard, England
关键词
Activated clotting time; aggregometry; cardiopulmonary bypass; coagulopathy; complications; intra-bypass monitoring; near-patient testing; open-heart surgery; platelet-function testing; postoperative coagulopathy; thromboelastography; thromboelastometry; transfusion; OPEN-HEART SURGERY; CARDIAC SURGICAL-PATIENTS; ACTIVATED CLOTTING TIME; EXTRACORPOREAL-CIRCULATION; PLATELET-FUNCTION; BLOOD-PLATELETS; HEPARIN-THERAPY; WHOLE-BLOOD; PLASMINOGEN ACTIVATOR; TRANSFUSION ALGORITHM;
D O I
10.3109/10408363.2010.549291
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
There have been numerous publications on the coagulopathy of cardiopulmonary bypass (CPB). This review provides an introduction to the history and main components of current CPB circuits and summarizes the current knowledge of pathogenesis, prevention, and treatment of the CPB coagulopathy. It encompasses an overview of intra- and postoperative monitoring of coagulation with special emphasis on the near-patient testing, its main complications, and the transfusion support, while taking into account the major changes in the technology used and supportive care provided since its inception.</.
引用
收藏
页码:197 / 212
页数:16
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