title: [CORRECTION OF HEMOSTASIS DISORDER IN HEMORRHAGIC SHOCK].
abstract: It is a clinical case of successful correction of hemostasis disorder in hemorrhagic shock. This case demonstrates the need to perform advanced tests that assess hemostatic system in patients with ongoing bleeding. Using of thromboelastography helped us to make a comprehensive assessment of hemostatic system that allowed to detect the point of application of drugs and substitution therapy. Coagulation disorder was treated by intravenous injection of Ca2+. In this case the cause of hypocalcemia was combination offactors such as electrolytes losing during massive bleeding and progressing metabolic acidosis. Therefore, monitoring the level of ionized calcium is especially important in patients undergoing massive blood loss and receiving large doses of donor blood components.
authors.forename: S S
authors.initials: SS
authors.lastname: Petrikov
authors.forename: V I
authors.initials: VI
authors.lastname: Kartavenko
authors.forename: S A
authors.initials: SA
authors.lastname: Badygov
authors.forename: E V
authors.initials: EV
authors.lastname: Klychnikova
authors.forename: K G
authors.initials: KG
authors.lastname: Rak
mesh_terms: D000328:Adult; D002118:Calcium / Q000097:blood; D002122:Calcium Chloride / Q000008:administration & dosage / Q000627:therapeutic use*; D017707:Erythrocyte Transfusion / Q000379:methods; D006487:Hemostasis / Q000187:drug effects*; D006801:Humans; D008297:Male; D010949:Plasma; D012720:Severity of Illness Index; D012771:Shock, Hemorrhagic / Q000097:blood / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome; D014951:Wounds, Stab / Q000097:blood / Q000150:complications / Q000628:therapy*
chemical_list: D002122:Calcium Chloride; D002118:Calcium