Approach to thromboelastography-based transfusion in cirrhosis:An alternative perspective on coagulation disorders  

作　　者：Sahil Kataria Deven Juneja Omender Singh 

机构地区：[1]Institute of Critical Care Medicine,Max Super Speciality Hospital,New Delhi 110017,India

出　　处：《World Journal of Gastroenterology》2023年第9期1460-1474,共15页世界胃肠病学杂志（英文版）

摘　　要：Viscoelastic tests,specifically thromboelastography and rotational thromboelastometry,are increasingly being used in the management of postoperative bleeding in surgical intensive care units(ICUs).However,life-threatening bleeds may complicate the clinical course of many patients admitted to medical ICUs,especially those with underlying liver dysfunction.Patients with cirrhosis have multiple coagulation abnormalities that can lead to bleeding or thrombotic complications.Compared to conventional coagulation tests,a comprehensive depiction of the coagulation process and point-of-care availability are advantages favoring these devices,which may aid physicians in making a rapid diagnosis and instituting early interventions.These tests may help predict bleeding and rationalize the use of blood products in these patients.

关 键 词：BLEEDING Chronic liver disease CIRRHOSIS THROMBOELASTOGRAPHY Viscoelastic tests 

分 类 号：R575.2[医药卫生—消化系统]