血栓弹力图在缺血性脑血管病抗栓治疗中的应用  

Application of thrombelastography in antithrombotic therapy of ischemic cerebrovascular disease

作　　者：朱成杰[1] 赵瑞[2] 

机构地区：[1]第二军医大学临床医学系,上海200433 [2]第二军医大学长海医院神经外科脑血管病中心,上海200433

出　　处：《国际脑血管病杂志》2015年第5期388-391,共4页International Journal of Cerebrovascular Diseases

基　　金：国家自然科学基金（31370810）;上海市科委课题（13411950300,13441901102）

摘　　要：缺血性脑血管病的病情和预后与患者全血凝血状态及对抗血小板药的反应性密切相关。血栓弹力图（thromboelastography, TEG）是检测全血凝血和纤溶能力的一种可靠手段，其整体评价结果可应用于缺血性脑血管病患者的凝血功能监测、抗血小板治疗疗效和预后评估。近年来，TEG的检测方法不断改进，对其临床应用研究报道逐渐增多。文章对TEG在缺血性脑血管病诊断、治疗和预后评估中的临床应用进行了综述。The condition and prognosis of ischemic cerebrovascular disease（ICVD）are closely associated with the w hole blood coagulation status and the reactivity of antiplatelet agents of patients. Thromboelastography （ TEG ） is a reliable means to detect the w hole blood coagulation and fibrinolytic capacity. Its overal results of the evaluation can be used in the coagulation monitoring, efficacy of antiplatelet therapy, and prognostic evaluation in patients with ischemic cerebrovascular disease. In recent years, the detection methods of TEG have been improved continuously. The research reports for its clinical application are gradualy increasing. This article reviews the clinical application of TEG in the diagnosis, treatment, and prognostic evaluation in ischemic cerebrovascular disease.

关 键 词：血栓弹力描记术 脑血管障碍 卒中 脑缺血 抗血小板聚集药 血小板聚集 

分 类 号：R743[医药卫生—神经病学与精神病学]