血栓弹力图在晚期肺癌初诊患者凝血功能状态评估中的应用  

Thromboelastography in evaluation of coagulation status in patients preliminarily diagnosed as advanced lung cancer

作　　者：杨震[1] 姜丹丹[1] 田庆[1] 李春燕[1] 刘星辰[1] 安阳[1] 陈良安[1] 

机构地区：[1]解放军总医院呼吸科,北京100853

出　　处：《中国循证心血管医学杂志》2012年第2期155-157,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的探讨血栓弹力图(TEG)在晚期肺癌初诊患者凝血功能状态评估中的应用价值。方法回顾性分析90例晚期肺癌初诊患者的血栓弹力图和常规凝血功能检测结果,比较两种检测方法对凝血功能异常检出的差异。结果经TEG检测发现38例(42.2%)患者存在凝血功能异常,经常规凝血功能检测方法发现85例(94.4%)患者存在凝血功能异常,两种检测方法对晚期肺癌初诊患者凝血功能异常检出率的差异有显著统计学意义(P<0.01)。结论晚期肺癌患者经TEG检测存在高凝状态的比例低于常规凝血功能检测结果。Objective To discuss the application value of thromboelastography（TEG） in evaluation of coagulation status in patients preliminary diagnosed as advanced lung cancer.Methods The results of TEG detection and coagulation function test were analyzed retrospectively in 90 patients preliminarily diagnosed as advanced lung cancer.The difference in detecting abnormal coagulation function was compared between the two methods.Results There were 38 patients（42.2%） with abnormal coagulation function detected by TEG detection,and 85（94.4%） with abnormal coagulation function detected by routine coagulation function test.The difference in detection rate of abnormal coagulation function was statistical significant between two methods（P〈0.01）.Conclusion The proportion of patients in hypercoagulable status detected by TEG detection was lower than that of patients detected by routine coagulation function test.

关 键 词：肺癌 凝血功能状态 血栓弹力图 

分 类 号：R734.2[医药卫生—肿瘤]