prothrombin complex concentrate (beriplex pn) in severe bleeding experience in a large tertiary hospital凝血酶原复杂(beriplex pn)集中在严重出血的经验在一个大型三级医院.pdfVIP
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prothrombin complex concentrate (beriplex pn) in severe bleeding experience in a large tertiary hospital凝血酶原复杂(beriplex pn)集中在严重出血的经验在一个大型三级医院
Available online /content/12/4/R105
Vol 12 No 4 Open Access
Research
Prothrombin complex concentrate (Beriplex P/N) in severe
bleeding: experience in a large tertiary hospital
David Bruce and Tim JC Nokes
Department of Haematology, Derriford Hospital, Brest Road, Plymouth, Devon PL6 8DH, UK
Corresponding author: Tim JC Nokes, tim.nokes@phnt.swest.nhs.uk
Received: 7 Apr 2008 Revisions requested: 9 May 2008 Revisions received: 1 Jul 2008 Accepted: 15 Aug 2008 Published: 15 Aug 2008
Critical Care 2008, 12:R105 (doi:10.1186/cc6987)
This article is online at: /content/12/4/R105
© 2008 Bruce and Nokes; licensee BioMed Central Ltd.
This is an open access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction Major blood loss can often be life-threatening and 1). Therefore, 24 patients were included in the analysis:
is most commonly encountered in the settings of surgery and coronary artery bypass graft (n = 5), mitral/aortic valve
trauma. Patients receiving anticoagulant therapy are also at replacement (n = 2), other surgery (n = 9) and warfarin reversal
increased risk of bleeding. We investigated the use of a (n = 8). Most patients (83.3%) received no more than 1500 IU
prothrombin complex concentrate (PCC; Beriplex P/N, CSL of Beriplex P/N 500. Considerable reduction in administration of
Behring, Marburg, Germany) to treat severe bleeding in a variety other blood products was seen
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