摘要
目的研究分析创伤患者常规血栓弹力图(TEG)与快速血栓弹力图在创伤中的相关性。方法选取收治的150例成人创伤患者为研究对象,进行常规和快速TEG检测,并进行相关性分析。结果常规TEG和快速TEG值的血块强度(MA)有很强的相关性(r=0.784);a角和K值在两种方法之间呈中度相关性(r=0.442、0.623);常规TEG与快速TEG值的血块稳定性(LY30)相关性较差(r=0.148)。结论常规TEG与快速TEG在整体血栓强度和血小板功能方面有很强的相关性。评估纤维蛋白交联程度的相关性为中等,评估溶栓的相关性较差。在使用快速TEG评估凝血状态时,应考虑这些相关性。
Objective To study the correlation between routine thromboelastography(TEG)and rapid thromboelastography in patients with trauma.Methods 150 adult trauma patients were selected as the research object.The patients were detected by routine and rapid TEG.The correlation were analyzed.Results There was a close correlation between the blood clot intensity(MA)of routine TEG and rapid TEG(r=0.784).Theɑangle and K value were moderately correlated between the two methods(r=0.442、0.623).The correlation of blood clot stability(LY30)between routine TEG and rapid TEG was poor(r=0.148).Conclusion There is a strong correlation between the routine thromboelastography and the rapid thromboelastography in terms of overall thrombus intensity and platelet function.The correlation of fibrin crosslinking degree is moderate,but that of thrombolysis is poor.These correlations should be considered when evaluating clotting status by using a rapid thromboelastography.
作者
李丽华
马世兰
何建刚
张亮
LI Lihua;MA Shilan;HE Jiangang;ZHANG Liang(Central Laboratory,People's Hospital of Ningxia Autonomous Region,Yinchuan 750011,China;Emergency Department,People's Hospital of Ningxia Autonomous Region,Yinchuan 750011,China)
出处
《宁夏医学杂志》
CAS
2022年第6期515-518,共4页
Ningxia Medical Journal
作者简介
通讯作者:张亮,副主任医师,Email:zlpst@163.com。
