hyytymiskertaumista

Hyytymiskertaumista is a term that appears in Finnish medical literature to describe a pattern of coagulation disturbance following traumatic events. The exact usage varies, but it is generally used to refer to a state in which the balance between coagulation and fibrinolysis is disrupted after injury, potentially leading to bleeding, thrombosis, or both. The expression is not standardized in international guidelines and is not widely used outside Finnish-speaking clinical contexts.

Clinical manifestations are heterogeneous. Patients may present with bleeding tendencies such as ecchymosis, wound oozing, or extensive hemorrhage, as well as thrombotic complications including venous or arterial clots. Laboratory findings can include abnormal coagulation tests, low or dysfunctional platelets, reduced fibrinogen, elevated D-dimer, and signs of consumptive coagulopathy. In many cases, the condition is discussed in the context of post-traumatic coagulopathy or disseminated intravascular coagulation, with emphasis on dynamic changes over time after the traumatic event.

Diagnosis relies on a combination of clinical assessment and laboratory testing. Standard coagulation panels (PT/INR, aPTT), platelet count, fibrinogen level, and D-dimer are commonly used, supplemented by viscoelastic testing (such as thromboelastography or ROTEM) when available to guide therapy. Management focuses on early bleeding control, careful fluid and hemodynamic management, and targeted correction of coagulopathy, often guided by viscoelastic results. This may include balanced transfusion strategies and antifibrinolytic therapy as indicated. The concept remains a descriptive term within Finnish medical discourse rather than a universally defined medical diagnosis.

See also: coagulation disorders, post-traumatic coagulopathy, disseminated intravascular coagulation, hemostasis.