Liver transplantation and coagulation: Medical education Karaciǧer transplantasyonu ve pihtilaşma
Turkiye Klinikleri Journal of Medical Sciences, cilt.27, sa.1, ss.91-98, 2007 (Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 27 Sayı: 1
- Basım Tarihi: 2007
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.91-98
- Anahtar Kelimeler: Blood coagulation, Liver transplantation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Hemorrhage during liver transplantation is mainly caused by two factors. The first one is liver disease such as quantitative and qualitative platelet disorders, decreased production of coagulation factors and inhibitors, vitamin-K deficiency, synthesis of abnormal coagulation factors, decreased clearance of activated coagulation factors, hyperfibrinolysis and disseminated intravascular coagulation. The second factor is surgical intervention causing hyperfibrinolysis as well as specific and non-specific coagulation defects. There is no consensus whether preoperative correction of coagulation defects improves intraoperative hemorrhage. Therefore, rapid and sensitive monitoring of coagulation in addition to rational use of blood, blood products and pharmacologic agents may be beneficial during surgery. Copyright © 2007 by Türkiye Klinikleri.