COAGULOPATHY–PREDICTIBILITY OR NON- PREDICTIBILITY IN THE ABDOMINAL TRAUMA?

[...]laboratory investigations, diagnostic peritoneal washing as well as radiologic explorations are necessary for completing the diagnosis. According to the localisation of traumatisms, the most frequently involved parenchymal organ was the spleen - 24%, the liver and mesentery being equal as to number of cases - 14%, followed by the kidney - 6% - and lastly, the pancreas - 5% (Fig. 1). The decreased values of fibrinogen are closely correlated with an increased necessary amount of transfusable solutions, but also with an increased post-traumatic mortality [13]; as fibrinogen does not possess reserves outside the plasma, a sudden loss cannot be immediately compensated for. [...]studies have demonstrated that the low fibrinogen values recorded at the time of traumatised patient's admission are related with the low tensional values in approximately 41% of patients [14]. [...]the European Trauma Guidelines recommends (1C degree recommendation) maintenance of the fibrinogen values between 1.5 and 2 g/l [16] and their monitorization by viscous-elastic methods, replacement with a concentrated form of fibrinogen, namely cryoprecipitate, for achieving a correction capable of avoiding the negative effects induced by the plasma, as well as the high volume involved at the time