A perda sanguínea excessiva no pós-operatório de cirurgia cardíaca pode ser prevista com o sistema de classificação da Sociedade Internacional de Trombose e Hemostasia (ISTH)
作者： Yoon Ji Choi , Seung Zhoo Yoon , Beom Joon Joo , Jung Man Lee , Yun‐Seok Jeon
DOI: 10.1016/J.BJAN.2016.12.012
关键词: Gynecology 、 Medicine
摘要: Resumo Justificativa e objetivo A previsao de perda sanguinea excessiva no pos‐operatorio util para o manejo em Unidade Terapia Intensiva (UTI) apos cirurgia cardiaca. O do presente estudo foi examinar a eficacia sistema classificacao da Sociedade Internacional Trombose Hemostasia ( International Society on Thrombosis and Hemostasis – ISTH) pacientes submetidos Metodo Apos obter aprovacao Comite Pesquisa Institucional, os prontuarios cardiaca eletiva com circulacao extracorporea (CEC) entre marco 2010 fevereiro 2014 foram retrospectivamente revisados. escore ISTH calculado na UTI alocados dois grupos: grupo coagulacao intravascular disseminada (CID) manifesta CID nao manifesta. Para avaliar correlacao Perda Estimada Sangue (PES), teste t Student as analises usados. Resultados Dentre 384 cardiaca, 70 (n = 20) ou (n = 50) incluidos. As medias dos escores admissao 5,35 ± 0,59 (Grupo manifesta) 2,66 ± 1,29 induzida 29% (20/70). apresentou PES superior durante 24 horas p = 0,006) um tempo maior intubacao = 0,005). Conclusao Apesar limitacao desenho retrospectivo, uso parece ser prever pos‐CEC prolongamento traqueal.
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