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输血尤其是大量输血可以给病人带来严重并发症,大量输血合并凝血障碍就是其中之一,如果处理不当,往往会导致严重不良后果。围手术期大量输血合并凝血障碍往往是多种因素导致的结果,需要综合评估及时诊断。只有正确判断大量输血合并凝血障碍的主要原因,采取个体化及综合性的处理措施,包括合理利用各类凝血物质和选择恰当的外科治疗措施等,才能取得良好的治疗效果。
Blood transfusions, especially mass transfusions, can cause serious complications for patients. Large numbers of blood transfusions and coagulopathy are one of them. Improper handling often leads to serious adverse consequences. Perioperative massive blood transfusions combined with coagulopathy is often the result of many factors, the need for comprehensive assessment of timely diagnosis. Only by correctly judging the major causes of massive blood transfusions and coagulopathy and taking individualized and comprehensive treatment measures, including the rational use of various types of coagulation substances and the selection of appropriate surgical treatment measures, can a good therapeutic effect be achieved.