Effects of tranexamic acid on reducing blood loss in pelvic trauma: A randomised double-blind placebo controlled study.

Effects of tranexamic acid on reducing blood loss in pelvic trauma: A randomised double-blind placebo controlled study.


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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: سید احمد ناصری علوی

کلمات کلیدی: Tranexamic acid Antifibrinolytic Pelvic Trauma Emergency medicine

نشریه: 19745 , 2 , 10 , 2019

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نویسنده ثبت کننده مقاله سید احمد ناصری علوی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 65945
عنوان فارسی مقاله Effects of tranexamic acid on reducing blood loss in pelvic trauma: A randomised double-blind placebo controlled study.
عنوان لاتین مقاله Effects of tranexamic acid on reducing blood loss in pelvic trauma: A randomised double-blind placebo controlled study.
ناشر 3
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح دو – PubMed
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Background Management of pelvic trauma is complicated with patients’ instability and remains high in skeletal injuries. The patients usually are young and in middle age and the management of bleeding is more important. The aim of this study is to assess the effects of Tranexamic Acid in Reducing Blood Loss in pelvic trauma: A Randomised Double-Blind Placebo Controlled Study. Method and materials In this randomized clinical trial study 106 patients with Pelvic Trauma (PT) were randomly divided into two groups. The case group received 1 g Intravenous TXA for loading dose and 3 dose per 8 h for the maintenance and control group received only serum 0.9% N.S (Normal Saline) or placebo. The Hemoglobin (Hb), Hematocrit (HCT), Pulse Rate (PR) and Blood Pressure (BP) was checked at admission, 24 h, 48 h and 72 h after admission. Results From 106 patients 61(%57.54) male and 45 (%42.46) female patients enrolled to the study. The mean age was 48.14 ± 13.54 and the range was 18–60 years old. There was no difference between two groups based on Blood Pressure at admission, 24 h, 48 h and 72 h after admission. There was a significant difference between two groups in 24 h, 48 h and 72 h after admission based on Hb and HCT amount. Conclusion based on our findings it appears that TXA can reduce bleeding amount in the first, second and third 24 h after surgery based on Hb and HCT without any effect on systolic and diastolic BP and PR. In other hand no side effect reported by any patients.

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سید احمد ناصری علویسوم

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