Chinese expert consensus on diagnosis and treatment of trauma-induced hypercoagulopathy

Jing-Chun Song; Li-Kun Yang; Wei Zhao; Feng Zhu; Gang Wang; Yao-Peng Chen; Wei-Qin Li

doi:10.1186/s40779-021-00317-4

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Chinese expert consensus on diagnosis and treatment of trauma-induced hypercoagulopathy

POSITION ARTICLE AND GUIDELINES | Updated：2023-02-28

- Chinese expert consensus on diagnosis and treatment of trauma-induced hypercoagulopathy
- Chinese expert consensus on diagnosis and treatment of trauma-induced hypercoagulopathy
- 解放军医学杂志（英文版） 2021年8卷第4期页码：453-467
- Affiliations：
  
  1.Department of Critical Care Medicine, the 908th Hospital of Joint Logistics Support Forces of Chinese PLA, Nanchang 330002, China
  2.Department of Neurosurgery, the 904th Hospital of Joint Logistics Support Forces of Chinese PLA, Wuxi 214044, Jiangsu, China
  3.Division of Vascular and Interventional Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  4.Department of Critical Care Medicine, Shanghai East Hospital, Tongji University, Shanghai 200120, China
  5.Department of Critical Care Medicine, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710001, China
  6.Department of Blood Transfusion, the 923th Hospital of Joint Logistics Support Forces of Chinese PLA, Nanning 530021, China
  7.Department of Critical Care Medicine, General Hospital of Eastern Theater Command of Chinese PLA, Nanjing 210002, China
- Author bio：
  
  * songjingchun@126.com;
  liweiqindr@vip.163.com
- Funds：
- DOI：10.1186/s40779-021-00317-4
  中图分类号：
- 纸质出版：2021-12
- Accepted：
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Chinese expert consensus on diagnosis and treatment of trauma-induced hypercoagulopathy[J]. 解放军医学杂志（英文版）, 2021,8(4):453-467.

Song et al.: Chinese expert consensus on diagnosis and treatment of trauma-induced hypercoagulopathy. Mil Med Res, 2021, 8: 25.
Chinese expert consensus on diagnosis and treatment of trauma-induced hypercoagulopathy[J]. 解放军医学杂志（英文版）, 2021,8(4):453-467. DOI： 10.1186/s40779-021-00317-4.

Song et al.: Chinese expert consensus on diagnosis and treatment of trauma-induced hypercoagulopathy. Mil Med Res, 2021, 8: 25. DOI： 10.1186/s40779-021-00317-4.

摘要

Abstract

Trauma-induced coagulopathy (TIC) is caused by post-traumatic tissue injury and manifests as hypercoagulability that leads to thromboembolism or hypocoagulability that leads to uncontrollable massive hemorrhage. Previous studies on TIC have mainly focused on hemorrhagic coagulopathy caused by the hypocoagulable phenotype of TIC

while recent studies have found that trauma-induced hypercoagulopathy can occur in as many as 22.2%–85.1% of trauma patients

in whom it can increase the risk of thrombotic events and mortality by 2- to 4-fold. Therefore

the Chinese People’s Liberation Army Professional Committee of Critical Care Medicine and the Chinese Society of Thrombosis

Hemostasis and Critical Care

Chinese Medicine Education Association jointly formulated this Chinese Expert Consensus comprising 15 recommendations for the definition

pathophysiological mechanism

assessment

prevention

and treatment of trauma-induced hypercoagulopathy.

关键词

Keywords

references

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