血栓弹力图与传统凝血功能检测在不同患者围术期应用进展  

Progress in application of thromboelastography and conventional coagulation tests in different patients during perioperative period

作　　者：张鹏[1] 江连祥 戴泽平[1] ZHANG Peng;JIANG Lianxiang;DAI Zeping(Department of Anesthesiology,Yijishan Hospital,Wannan Medical College,Wuhu 241001,China)

机构地区：[1]皖南医学院弋矶山医院麻醉科

出　　处：《沈阳医学院学报》2019年第3期259-263,共5页Journal of Shenyang Medical College

基　　金：安徽省重点研究与开发计划项目(No.201904a07020026)

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.

关 键 词：血栓弹力图 凝血功能检测 围术期 

分 类 号：R446.1[医药卫生—诊断学]