Abstract
The article reflects the key provisions of the Clinical guidelines (treatment protocols) on ectopic (tubal pregnancy), referring to intensive therapy for massive blood loss and DIC syndrome. The main principles of treatment at the pre-hospital state and hospital state of medical aid in these pathologies are presented successively. Special attention is given to the issues of observance of such principles as «damage control surgery», «damage control resuscitation» and «haemostasis control». The problems of assessing blood loss volume, diagnosis of disorders of haemostasis (DIC syndrome scoring), administration of infusion-transfusion therapy for massive blood loss and regulation of haemodynamics in haemorrhagic shock are discussed. The use of recombinant coagulation factors (FVIIa) in coagulopathy against the background of massive blood loss has been substantiated. The clinical guidelines (treatment protocol) have been approved by the Ministry of Health of the Russian Federation.
Original language | English |
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Pages (from-to) | 69-77 |
Number of pages | 9 |
Journal | Voprosy Ginekologii, Akusherstva i Perinatologii |
Volume | 16 |
Issue number | 5 |
DOIs | |
Publication status | Published - 1 Jan 2017 |
Keywords
- DIC syndrome
- Ectopic
- Factor VII
- Haemorrhagic shock
- Massive blood loss
- Massive transfusion protocol
- Pregnancy