Gauze aortic compression and super massive blood transfusion protocol for injury to the abdominal aorta : a case report
Joint Authors
Yang, Jin-zhao
Zhou, Yang
Huang, Wei
Wu, Yi Yuan
Jiang, Yun Han
He, Bin
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 20, Issue 8 (31 Aug. 2018), pp.1-4, 4 p.
Publisher
Publication Date
2018-08-31
Country of Publication
United Arab Emirates
No. of Pages
4
Main Subjects
Abstract EN
Introduction : Abdominal aorta injury is a rare yet lethal condition, particularly in patients at first-line hospitals, which usually lack in experience with the treatment of major vascular injuries.
In this setting, the patient should initially be treated with the intent to prolong survival and enable the consultation of a physician at a tertiary hospital.
Case Presentation : This report describes a case, in whommassive blood transfusion and aortic compression with gauze were combined to maintain hemodynamics for approximately one hour successfully.
The case was a 40-year-old patient with a penetrating abdominal aorta injury.
This patient was admitted to the People’s Hospital of Jingyan County in Leshan, People Republic of China, during May 2017.
During the resuscitation process, this patient experienced a blood loss of 12 000 mL (equivalent to 2.5 folds that of a male with a 60-kg body weight) and received an approximate total volume of 9000 mL of transfused blood and blood products.
Conclusions : Although supermassive hemorrhages and transfusions approximated to 2.5 times and 2 times, respectively, blood volume of a 60-kg man are extremely rare.
This study demonstrates that the simple intervention combined with a massive transfusion with gauze-based aortic compression can effectively prolong the time window, during which an abdominal aorta repair is possible.
Therefore, massive transfusion and gauze-based compression are one of the most effective rescue measures to life-threatening hemorrhages.
American Psychological Association (APA)
Huang, Wei& Yang, Jin-zhao& Zhou, Yang& He, Bin& Wu, Yi Yuan& Jiang, Yun Han. 2018. Gauze aortic compression and super massive blood transfusion protocol for injury to the abdominal aorta : a case report. Iranian Red Crescent Medical Journal،Vol. 20, no. 8, pp.1-4.
https://search.emarefa.net/detail/BIM-903576
Modern Language Association (MLA)
Huang, Wei…[et al.]. Gauze aortic compression and super massive blood transfusion protocol for injury to the abdominal aorta : a case report. Iranian Red Crescent Medical Journal Vol. 20, no. 8 (Aug. 2018), pp.1-4.
https://search.emarefa.net/detail/BIM-903576
American Medical Association (AMA)
Huang, Wei& Yang, Jin-zhao& Zhou, Yang& He, Bin& Wu, Yi Yuan& Jiang, Yun Han. Gauze aortic compression and super massive blood transfusion protocol for injury to the abdominal aorta : a case report. Iranian Red Crescent Medical Journal. 2018. Vol. 20, no. 8, pp.1-4.
https://search.emarefa.net/detail/BIM-903576
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 4
Record ID
BIM-903576