摘要
血栓弹力图(thrombelastography,TEG)现作为一种即时检验(point-of-care testing,POCT)设备正被广泛应用于临床各个领域,这项粘弹性止血试验(viscoelastic haemostatic assay,VHA)在临床医生诊断、决策以及治疗中也发挥着愈来愈重要的作用。传统凝血功能检测(conventional coagulation tests,CCTs)指标主要包括凝血酶原时间、活化部分凝血活酶时间、凝血酶时间、国际标准化比值、纤维蛋白原、血浆D-二聚体以及血小板计数,这些常规检验项目在临床上同样不可缺少。TEG与CCTs在不同类型临床患者围术期凝血功能监测中往往各有优势与不足,评价角度亦有差异。
Thromboelastography(TEG)as a point-of-care testing(POCT)device is widely used in various clinical fields. This viscoelastic haemostatic assay(VHA)is also playing an increasingly important role in the diagnosis, decision-making and treatment of clinicians. Conventional coagulation tests(CCTs)mainly include prothrombin time(PT), activated partial thromboplastin time(APTT),thrombin time(TT), international normalized ratio(INR), fibrinogen(Fbg), plasma D-dimer and platelet count(PLT). These routine tests are also indispensable in clinical practice. TEG and CCTs have their own advantages and disadvantages in perioperative coagulation function monitoring of different types of clinical patients, and their evaluation perspectives are also different.
引文
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