PMID: 22573741May 11, 2012Paper

Acute bleeding and intensive therapy methods after a hip joint total replacement (case report)

Georgian Medical News
M A IakobidzeG L Chaduneli

Abstract

Total replacement of hip joint is considered as the most traumatic and bloody intervention in surgery as it is characterized with an expressed bleeding. It is done a total hip joint replacement of 1044 patients of both sexes from 25 to 80 years old. It was developed a complex and optimal infusion-transfusion therapy with total hip joint replacement. It is described a case of the female patient who had acute bleeding after an operation and further syndrome of disseminated intravascular coagulation DIC. It had developed a vicious circle: coagulation factors were consumed quicker than they could restore. It was applied controlled hypotension to decrease bleeding intensity. It resulted in drainage bleeding reduction. Simultaneously it was conducted complex infusion-transfusion therapy, substitution therapy with blood preparations, it was transfused fresh frozen plasma by the generally accepted methods. Infusion therapy was done with crystalloids and colloids in ratio 2/1. In 3 days there were improved coagulogramm performances and total blood count, the critical status of the patient was improved. Therefore, we should note that acute bleeding is a serious problem that requires adequate complex infusion-transfusion therapy, circulat...Continue Reading

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