Sonoclot分析仪在体外循环冠脉旁路移植术中的应用评价  

Estimation of Sonoclot Analyzer in Extracorporeal Circulation Coronary Artery Bypass Grafting

作　　者：高顺利[1] 薛玉良[1] 王洪武[1] 

机构地区：[1]天津医科大学泰达心血管临床学院,天津300450

出　　处：《包头医学院学报》2011年第1期46-48,共3页Journal of Baotou Medical College

摘　　要：目的:用Sonoclot血小板功能分析仪监测体外循环(ECC)冠状动脉旁路移植术(CABG)中凝血功能的变化。方法:随机选择20例ECC下行CABG病人,在全麻诱导前(T1)、停机并用鱼精蛋白中和后10 min(T2)及手术结束(T3)时抽取血样,检测血小板功能和ACT、PT、APTT、Fib、TT、Hb。结果:与T1比较,T2和T3的PT、APTT、TT延长,Fib下降,ACT延长,CR、PF下降,T3与T2比较凝血时间缩短。结论:Sonoclot分析仪能够较为准确地监测ECC后凝血功能的变化。Objective： To monitor the changes in blood coagulation with sonoclot platelet functional analyzer during extracorporeal circulation（ECC） coronary artery bypass grafting（CABG）.Methods： Twenty cases with CABG were randomly selected.Blood was taken to test platelet function,ACT,PT,APTT,Fib,TT,and Hb before induction of general anesthesia（T1）,at 10 min after protamin neutralization（T2）,and at the end of surgery（T3）.Results： Compared with those at T1,the value at T2 and T3 of PT,APTT,TT and ACT increased,CR,PF and Fib decreased.Moreover,compared with T2,coagulation time decreased at T3.Conclusion： Sonoclot analyzer can monitor the changes in coagulation function after ECC.

关 键 词：血小板功能分析仪 凝血功能 体外循环 

分 类 号：R654.2[医药卫生—外科学]