DIFFUSE ways of preventing intra- and postoperative blood loss SURGERY ABDOMINAL AORTA

摘要

A method of preventing early diffuse intra- and postoperative blood loss during open surgery for aneurysms of the infrarenal aorta, characterized in that the patient before surgery is performed research levels of antithrombin III, and when it is below the value of 87 ± 3% for day operation since the start of anesthesia is carried landmark performance monitoring plasma and platelet hemostasis by thromboelastography technique, and at a value below the coagulation index 2.89 ± 0.25 in the early stages access to the abdominal aorta, without waiting for any significant or surgical hemorrhage, the patient is administered at least 600 ml of fresh frozen plasma odnogruppnoy and extends the dynamic control of the coagulation index in all subsequent stages of the operation, and while reducing the coagulation index values ​​below - 1,10 ± 0, 28 is additionally introduced at least 600 ml of fresh frozen plasma odnogruppnoy with continued monitoring of coagulation index, and wherein the end of the transaction value should coagulation index life s below - 0,52 ± 0,27.