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中华临床实验室管理电子杂志 ›› 2016, Vol. 04 ›› Issue (01) : 26 -29. doi: 10.3877.cma.j.issn.2095-5820.2016.01.006

所属专题: 文献

专题笔谈

血栓弹力图在血栓和出血性疾病诊治中的应用
王玲玲1, 曹兴建1,(), 范玉平1, 姜肖刚1   
  1. 1. 226001 南通市第一人民医院检验科
  • 收稿日期:2016-02-13 出版日期:2016-02-28
  • 通信作者: 曹兴建

Diagnosis and treatment application of thrombosis and hemorrhagic disease with thrombelastography

Lingling Wang1, Xingjian Cao1,(), Yuping Fan1, Xiaogang Jiang1   

  1. 1. Department of clinical laboratory, Nantong First People’s Hospital, Nantong 226001, China
  • Received:2016-02-13 Published:2016-02-28
  • Corresponding author: Xingjian Cao
  • About author:
    Corresponding author: Cao Xingjian, Email:
引用本文:

王玲玲, 曹兴建, 范玉平, 姜肖刚. 血栓弹力图在血栓和出血性疾病诊治中的应用[J/OL]. 中华临床实验室管理电子杂志, 2016, 04(01): 26-29.

Lingling Wang, Xingjian Cao, Yuping Fan, Xiaogang Jiang. Diagnosis and treatment application of thrombosis and hemorrhagic disease with thrombelastography[J/OL]. Chinese Journal of Clinical Laboratory Management(Electronic Edition), 2016, 04(01): 26-29.

血栓弹力图(thrombelastography, TEG)是一种从凝血开始,至血凝块形成及纤维蛋白溶解全过程的全血检测方法,其在临床的应用日益广泛。与传统凝血检测方法相比较,TEG更接近生理状态,更能真实,准确地反映患者凝血全貌。本文重点阐明TEG全面分析血栓和出血性疾病患者真实凝血/纤溶状态的原理,及其在患者手术时机选择、体内抗凝因素监测、出血原因分析、血制品使用以及弥漫性血管内凝血(disseminated intravascular coagulation, DIC)和静脉血栓栓塞风险评估等方面的临床应用意义,以利于临床医生及时获取有效信息,对血栓和出血性疾病患者治疗采取合理治疗措施。

Thrombelastography (TEG) is a whole blood test, which is from the beginning of blood coagulation, to the formation of blood clots and the whole process of fibrin dissolution, which is widely used in clinical practice. Compared with the traditional method of coagulation testing, TEG is more close to the physiological state, and reflect the whole picture of the coagulation of patients more authentic and accurate. This paper focuses on the principle of TEG in a comprehensive analysis of the coagulation/fibrinolysis status of patients with thrombosis and hemorrhagic diseases, its clinical significance in patients with the timing of surgery, monitoring of anticoagulation factors, bleeding reason analysis, the use of blood products. Disseminated intravascular coagulation (DIC) and venous thromboembolism risk assessment, etc. The analysis will help clinicians to access timely and effective information, and to take reasonable treatment measures for patients with thrombosis and hemorrhagic disease.

图1 TEG检测全血标本原理示意图
图2 TEG参数说明[2]
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