Ç 29 È Ïñ a w ë Ñ } ñÀ ® ® « ûplaza.umin.ac.jp/yuketsuk/resources/平成29... ·...
Transcript of Ç 29 È Ïñ a w ë Ñ } ñÀ ® ® « ûplaza.umin.ac.jp/yuketsuk/resources/平成29... ·...
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28
98 8,500 13
1,120 116 9,620
226 8,620 109 9,000
116 9,620
30
15
12
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2025
15
2025
26
2,500
28
5,000
12
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29
27
30
10
31
29
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COI COI
COI
30
50
2025
2025
45 360
720
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10
31
36
30
31
11 12
11 12
12
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20
11
14
31
14
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10
20 30
2020
28 191
483
2
68 21
17 28
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13
g/dL 1A 1A
2C 2D
5 / L 2D
2 /mL 2D
PT 2.0 30 APTT
2 25 100mg/dL
150
2B
10 15mL/kg
2.5
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3.0g/dL 2.5g/dL
1B 2D 1B
2B 2D
2D
1B
200 400mL
1A
2C
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MTP Massive Transfusion Protocol
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AABB
AABB Trauma hemostasis&Oxygenation Research:
THOR AABB/THOR Joint Working Group
Hemorrhagic Shock Resuscitation Workshop
preventable death
COI
30
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100
FFP 1.5
FFP
civilian
FFP FFP
FFP
16 FFP
FFP
30
1:1:1
FFP,
FFP
FFP
FFP
FFP FFP
FFP FFP
FFP
survivorship bias
survivorship bias
survivorship bias Plasma: RCC
FFP
cutoff 1 1 30
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survivorship bias 30
905 25
24
plasma:RBC
platelets:RBC 6
24 FFP 24
FFP
FFP
survivorship bias 24
disadvantage
FFP Thawed plasma
plasma
AB
AB AB low titer B A
TRALI
FFP
vWF von Willebrand factor vWF N
FFP
FFP
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PROPPR study Plasma:
FFP container
container
FFP
FFP
10
24 30 all-cause mortality
1:1:1
24
thawed plasma
AB AB
A Universal donor
Massive Transfusion Protocols
30
PROPPR study
container
container
15
Massive Transfusion Protocols
15 10
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AABB
FFP
Massive Transfusion Protocols
post-hock 24
survivorship bias 24
FFP
plasma
Massive
Transfusion Protocols
FFP
Blood Bank
Blood Bank
1-
thawed
plasma
AABB
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AABBstandards
AABB low titer group O AABB standards
low titer group O A
B 256 O
FFP
400cc
Freeze-dried plasma
Refrigerated Platelets
cold platelets FDA
cold platelets
cold platelets 14
cold platelets
Massive Transfusion Protocols
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Massive Transfusion Protocols
VII
primary endpoint
Rahe-Meyer Hannover
150
2017
200
feasibility study
ROTEM PCC
prothrombin complex concentrate
RCT
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plasma
Grade 1B 1C
30
ROTEM
TEG
FFP
AABB
40
FFP
POC device
1 1 1
DIC
PAI-1
MTP MTP MTP
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MTP
prehospital
Freeze-dried
plasma MTP
MTP
FFP
FFP
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Massive Transfusion Protocols Damage
Control Resuscitation
Damage Control
Resuscitation Massive Transfusion Protocols
cold platelets
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cold platelets
FDA
AABB
MTP
FFP
MTP
1B
150 200
1C
Transfusion
125 123 MTP
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93
ER 4 1
2 25 28
10
108
8,345
O
11.5 1,225
O
MTP
MTP
MTP 10
O MTP
10 n=10
MTP
FFP
FFP MTP
2016 1 106 23
10 n=10
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MTP 15
FFP 30
15 50 MTP
MTP
MTP
MTP
MTP
FFP
MTP TACO
MTP
MTP O 10
FFP FFP
FFP
FFP
MTP 72
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AMED
MTP
O
MTP
FFP
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MTP
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19
5.5 12.7
21
12
ABO
20
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O
A4
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2006
2012 58
2023
Advanced OSCE
Post-Clinical Clerkship OSCE
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53 73
37 44
39 38
Cell Processing Center
40
90
78
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93 100
199 164 25
145
616 313 15
240
52
14 31 4
731 HLA 50
FFP
20
28 11 6,000
20
21 13.2 25
9.8
FFP PC 20
FFP
79
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36
23
HLA
A&T
78
72
92
12
10
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IC
IC
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31 64
31
2019 31 11 14
18
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10 19
10
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