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Erythropoiesis in m...
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Robinson, Yohan,1977Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Charité – Campus Benjamin Franklin, Klinik für Unfall- und Wiederherstellungschirurgie, Berlin
(author)
Erythropoiesis in multiply injured patients.
- Article/chapterEnglish2006
Publisher, publication year, extent ...
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Ovid Technologies (Wolters Kluwer Health),2006
Numbers
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LIBRIS-ID:oai:gup.ub.gu.se/277406
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https://gup.ub.gu.se/publication/277406URI
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https://doi.org/10.1097/01.ta.0000240969.13891.9bDOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-170591URI
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Subject category:ref swepub-contenttype
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Subject category:for swepub-publicationtype
Notes
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Posttraumatic anemia in multiply injured patients is caused by hemorrhage, reduced red blood cell survival, and impaired erythropoiesis. Trauma-induced hyperinflammation causes impaired bone-marrow function by means of blunted erythropoietin (EPO) response, reduced iron availability, suppression and egress of erythroid progenitor cells. To treat posttraumatic anemia in severely injured patients, symptomatic therapy by blood transfusion is not sufficient. Furthermore, EPO, iron, and the use of red cell substitutes should be considered. The posttraumatic systemic inflammatory response syndrome (SIRS) induces posttraumatic anemia. Thus, a worsening of SIRS by a "second-hit" through blood transfusion ought to be avoided.
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Hostmann, Arwed
(author)
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Matenov, Alexander
(author)
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Ertel, Wolfgang
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Oberholzer, Andreas
(author)
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Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för ortopedi
(creator_code:org_t)
Related titles
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In:The Journal of trauma: Ovid Technologies (Wolters Kluwer Health)61:5, s. 1285-910022-52821529-8809
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