Whole-blood transfusion for hemorrhagic shock resuscitation: two cases in Djibouti

被引：1

作者：

Cordier, P. Y. ^{[1
,5
]}

Eve, O. ^{[1
]}

Dehan, C. ^{[2
]}

Topin, F. ^{[1
]}

Menguy, P. ^{[3
]}

Bertani, A. ^{[3
]}

Massoure, P. L. ^{[4
]}

Kaiser, E. ^{[1
]}

机构：

[1] Hop Medicochirurg Bouffard, Dept Anesthesie Reanimat Urgences, Djibouti, Djibouti

[2] Hop Medicochirurg Bouffard, Serv Biol Clin, Djibouti, Djibouti

[3] Hop Medicochirurg Bouffard, Serv Chirurg, Djibouti, Djibouti

[4] Hop Medicochirurg Bouffard, Serv Med, Djibouti, Djibouti

[5] Hop Instruct Armees Laveran, Serv Anesthesie Reanimat, Marseille, France

来源：

MEDECINE ET SANTE TROPICALES | 2012年 / 22卷 / 02期

关键词：

whole blood transfusion; hemorrhagic shock; coagulopathy; Djibouti;

D O I：

10.1684/mst.2012.0056

中图分类号：

R188.11 [热带医学];

学科分类号：

摘要：

Hemorrhagic shock requires early aggressive treatment, including transfusion of packed red blood cells and hemostatic resuscitation. In austere environments, when component therapy is not available, warm fresh whole-blood transfusion is a convenient treatment. It provides red blood cells, clotting factors, and functional platelets. Therefore it is commonly used in military practice to treat hemorrhagic shock in combat casualties. At Bouffard Hospital Center in Djibouti, the supply of packed red blood cells is limited, and apheresis platelets are unavailable. We used whole blood transfusion in two civilian patients with life-threatening non-traumatic hemorrhages. One had massive bleeding caused by disseminated intravascular coagulation due to septic shock; the second was a 39 year-old pregnant woman with uterine rupture. In both cases, whole blood transfusion (twelve and ten 500 mL bags respectively), combined with etiological treatment, enabled coagulopathy correction, hemorrhage control, and satisfactory recovery.

引用

页码：213 / 216

页数：4