Trastornos de coagulación en trauma craneoencefálico
Niño de Mejía, M.C.
Caicedo, María Virginia
Torres, J. A.
Tovar, Jesús H.
Revista colombiana de anestesiología, 0120-3347. Vol. 36. Nro. 3. 2008, p. 199-206de Anestesiologia
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The understanding of the coagulation process has progressed during last decade evolving from the concept according to which the production of the clot begins by means of the action of platelets and the activation of one of two separated systems, the extrinsic route and the intrinsic route, to the present concept that makes emphasis on the common route and a proteolytic system that give rise to the degradation of formed clots and to the undesired prevention of the formation of the clot. The alteration of this balance receives special importance in the patients with brain trauma in those who to the light of the present knowledge may present upheavals of the coagulation which can go from procoagulating injuries in one end to anticoagulating injuries in the other. The goal of the authors is to provide a clinical guide with initial evaluation, pursuit and therapeutic possibilities available at the moment.
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