新英格兰杂志综述全文中文版大量失血的预防与治疗.DOCVIP

《新英格兰杂志》综述全文（中文版）：大量失血的预防与治疗 Prevention and Treatment of Major Blood Loss大量失血的预防与治疗Pier Mannuccio Mannucci, M.D., and Marcel Levi, M.D., Ph.D.NEJM,Volume 356:2301-2311 May 31, 2007 Number 22 第一部分In a medical setting, surgery is the most common cause of major blood loss, defined as a loss of 20% of total blood volume or more. In particular, cardiovascular procedures, liver transplantation and hepatic resections, and major orthopedic procedures including hip and knee replacement and spine surgery, are associated with severe bleeding. Excessive blood loss may also occur for other reason