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・ Travaris Cadet
・ Travaris Robinson
・ Trauma quality improvement program
・ Trauma Records
・ Trauma risk management
・ Trauma Screening Questionnaire
・ Trauma shears
・ Trauma Studios
・ Trauma surgery
・ Trauma symptom inventory
・ Trauma Systems and Regionalization of Emergency Care Reauthorization Act
・ Trauma Systems Therapy
・ Trauma Team
・ Trauma team
・ Trauma Towers
Trauma triad of death
・ Trauma trigger
・ Trauma Zero
・ Trauma, Violence, & Abuse
・ Trauma-focused Cognitive Behavioral Therapy
・ TraumaMan
・ Traumascapes
・ Traumatic acid
・ Traumatic alopecia
・ Traumatic anserine folliculosis
・ Traumatic aortic rupture
・ Traumatic asphyxia
・ Traumatic bonding
・ Traumatic bone cyst
・ Traumatic brain injury


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Trauma triad of death : ウィキペディア英語版
Trauma triad of death

The trauma triad of death is a medical term describing the combination of hypothermia, acidosis and coagulopathy. This combination is commonly seen in patients who have sustained severe traumatic injuries and results in a significant rise in the mortality rate. Commonly when someone presents with these signs damage control surgery is employed to reverse the effects.
The three conditions share a complex relationship; each factor can compound the others, resulting in high mortality if the cycle continues uninterrupted.
Severe haemorrhage in trauma diminishes oxygen delivery, and may lead to hypothermia. This in turn can halt the coagulation cascade, preventing blood from clotting. In the absence of blood-bound oxygen and nutrients (hypoperfusion), the body's cells burn glucose anaerobically for energy, causing the release of lactic acid, ketone bodies, and other acidic compounds into the blood stream, which lower the blood's pH, leading to metabolic acidosis. Such an increase in acidity damages the tissues and organs of the body and can reduce myocardial performance, further reducing the oxygen delivery.
==References==


抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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