Современная терапия острой массивной кровопотери

Acute massive loss of blood is up to now one of the states having the highest lethality rates. Increased interest in this problem is accounted for by the fact that almost all surgeons deal with it quite often. Results of infusion-transfu-sion therapy depend on its timeliness and adequacy, while the approach, demand for transfusion mediums, as well as their quantity and structure are determined by clinical picture, blood loss volume, its rate and duration, and patient's age and concomitant diseases. The major problem of haemorrhage therapy that is blood replacement is now solved by using whole donor blood and its components, as well as by means of infu-sions of fresh frozen plasma, saline, colloidal solutions, and perftoran.