Progresses in understanding trauma-induced coagulopathy and the underlying mechanism

Trauma-induced coagulopathy (TIC) is a clinical syndrome caused by imbalance between clotting, anti-coagulation and fibrinolysis resulting from multiple pathological factors such as hemorrhage and tissue injury in the early stage of trauma, and is closely related to the outcome of trauma patients. I...

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Main Authors: Na Peng, Lei Su
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Chinese Journal of Traumatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1008127516303248
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author Na Peng
Lei Su
author_facet Na Peng
Lei Su
author_sort Na Peng
collection DOAJ
description Trauma-induced coagulopathy (TIC) is a clinical syndrome caused by imbalance between clotting, anti-coagulation and fibrinolysis resulting from multiple pathological factors such as hemorrhage and tissue injury in the early stage of trauma, and is closely related to the outcome of trauma patients. It is proved in growing evidence that the endogenous coagulation disturbance in trauma itself is the activating factor of TIC, rather than dilution or other acquired coagulopathy. Therefore, a thorough understanding of the molecular mechanisms in the pathogenesis and progression is crucial for effective prevention and treatment in patients with TIC. This review focuses on transitions in the concept of TIC and mechanical progress.
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spelling doaj.art-facc782c7c954ba38ca71bdd4a3abdc32022-12-21T18:31:01ZengElsevierChinese Journal of Traumatology1008-12752017-06-0120313313610.1016/j.cjtee.2017.03.002Progresses in understanding trauma-induced coagulopathy and the underlying mechanismNa PengLei SuTrauma-induced coagulopathy (TIC) is a clinical syndrome caused by imbalance between clotting, anti-coagulation and fibrinolysis resulting from multiple pathological factors such as hemorrhage and tissue injury in the early stage of trauma, and is closely related to the outcome of trauma patients. It is proved in growing evidence that the endogenous coagulation disturbance in trauma itself is the activating factor of TIC, rather than dilution or other acquired coagulopathy. Therefore, a thorough understanding of the molecular mechanisms in the pathogenesis and progression is crucial for effective prevention and treatment in patients with TIC. This review focuses on transitions in the concept of TIC and mechanical progress.http://www.sciencedirect.com/science/article/pii/S1008127516303248Blood coagulation disordersShockPhysiopathologyTrauma induced coagulopathy
spellingShingle Na Peng
Lei Su
Progresses in understanding trauma-induced coagulopathy and the underlying mechanism
Chinese Journal of Traumatology
Blood coagulation disorders
Shock
Physiopathology
Trauma induced coagulopathy
title Progresses in understanding trauma-induced coagulopathy and the underlying mechanism
title_full Progresses in understanding trauma-induced coagulopathy and the underlying mechanism
title_fullStr Progresses in understanding trauma-induced coagulopathy and the underlying mechanism
title_full_unstemmed Progresses in understanding trauma-induced coagulopathy and the underlying mechanism
title_short Progresses in understanding trauma-induced coagulopathy and the underlying mechanism
title_sort progresses in understanding trauma induced coagulopathy and the underlying mechanism
topic Blood coagulation disorders
Shock
Physiopathology
Trauma induced coagulopathy
url http://www.sciencedirect.com/science/article/pii/S1008127516303248
work_keys_str_mv AT napeng progressesinunderstandingtraumainducedcoagulopathyandtheunderlyingmechanism
AT leisu progressesinunderstandingtraumainducedcoagulopathyandtheunderlyingmechanism