- 期刊
- OpenAccess
高雄市首例到院前接受傳明酸治療康復出院之嚴重創傷案例報告
The first case of major trauma in Kaohsiung City that received pre-hospital tranexamic acid treatment and was discharged after recovery
摘要
研究背景：未控制的大出血是創傷患者急性死亡常見的原因；先進城市的系統中，有3成的傷患在院前死於可預防的出血（potentially preventable hemorrhage, PPH）。因此，到院前處置至關重要。個案簡介：本案為75歲女性自7公尺高處墜落後呈現多處創傷、意識不清及嚴重休克，高級救護技術員（Emergency medical technician-Paramedic, EMT-P）抵達現場，給予創傷常規處置及Tranexamic Acid（TXA）1gm滴注後將傷患送往就近醫學中心。研究結論：研究顯示在受傷後3小時內給予TXA對於患者是有益處的；經由簡單的出血控制和施打TXA，早期抑制急性創傷性凝血病變並快速轉送至醫院，對重大創傷患者有較佳預後。
並列摘要
Background: Uncontrolled massive bleeding was the most common cause of acute death. In developed urban trauma systems, about 30% of patients died of potentially preventable bleeding (PPH) before hospital. Therefore, early responses of prehospital resuscitation was important to trauma patients. Case Description: In this case, a 75-year-old woman suffered from multiple traumas, unconsciousness and severe shock after falling from a height of 7 meters. EMT-P provided routine trauma care and administered 1gm of Tranexamic Acid (TXA) infusion, sending the patient to nearest medical center. Discussion: Study showed that giving TXA within 3 hours after injury is beneficial to trauma patients. Early suppression of acute traumatic coagulopathy through simple bleeding control, administration of TXA, and rapid transport to the hospital may gain better outcome.