106.4 📌 章末速記

• Hb 在急性失血初期可能正常 (24-72 hr 後 plasma refill 才下降)
• Class I-IV 失血: 15% / 30% / 40% 為界
• TRICC: Hb 7 (stable); Hb 8 (ACS)
• MTP 1:1:1: PRBC : FFP : Platelet
• TXA < 3 hr: trauma + PPH; UGIB 不再常規
• Lethal triad: hypothermia + acidosis + coagulopathy
• Damage control resuscitation: permissive hypotension + 限制 crystalloid + 早期 blood + warm
• Anticoagulant reversal: warfarin → 4F-PCC; dabigatran → idarucizumab; Xa inhibitor → andexanet