[1]荆晶,胡兴斌.大面积烧伤患者血栓弹力图检测的临床意义[J].现代检验医学杂志,2015,30(06):156-159.[doi:10.3969/j.issn.1671-7414.2015.06.048]
 JING Jing,HU Xing-bin.Clinical Significance of Thrombelastography in Patients with a Large Area of Burn[J].Journal of Modern Laboratory Medicine,2015,30(06):156-159.[doi:10.3969/j.issn.1671-7414.2015.06.048]
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大面积烧伤患者血栓弹力图检测的临床意义()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第30卷
期数:
2015年06期
页码:
156-159
栏目:
检验与临床
出版日期:
2015-12-30

文章信息/Info

Title:
Clinical Significance of Thrombelastography in Patients with a Large Area of Burn
作者:
荆晶胡兴斌
第四军医大学西京医院输血科,西安710032
Author(s):
JING JingHU Xing-bin
Department of Transfusion Medicine,Xijing Hospital, Fourth Military Medical University,Xi’an 710032,China
关键词:
烧伤血栓弹力图临床应用
分类号:
R644;R446.11
DOI:
10.3969/j.issn.1671-7414.2015.06.048
文献标志码:
A
摘要:
目的探讨血栓弹力图(TEG)在评价大面积烧伤患者体内凝血状态中的作用。方法对63例大面积烧伤患者(治疗组)进行TEG的测定,了解其凝血功能情况,并与52例健康体检者(对照组)的TEG相比较。结果60例大面积烧伤患者(治疗组)TEG均表现为高凝图像,R值(4.01±0.79 min),K值(0.90±0.15 min),Angle值(77.58±2.75°),MA值(73.89±5.64 mm)及CI值(4.21±0.90),与对照组R值(4.66±0.92 min),K值(1.45±0.48 min)相比较,治疗组R,K明显缩短,差异具有统计学意义(P<0.05)。与对照组Angle值(68.63±5.74°),MA值(62.33±6.31 mm)及CI值(1.79±0.74)相比较,治疗组明显变大,差异具有统计学意义(P<0.05)。结论大面积烧伤患者体内存在病理性高凝状态,应用TEG动态观察大面积烧伤患者凝血状态,对病情评估及指导治疗有重要意义。
Abstract:
ObjectiveTo investigate the effect of thrombelastography (TEG) on evaluating the blood hypercoagulability in large area of burn patients.MethodsThe TEG results from 63 large area of burn patients were collected,and compared with those of 52 healthy people to investigate their coagulating status.ResultsR value (4.01±0.79 min) and K value (0.90±0.15 min) of TEG in the patients with a large area of burn were significantly shortened than those in normal control whose R and K value was (4.66±0.92 min) and (1.45±0.48 min) respectively (P<0.05).Angle value (77.58±2.75°),MA value (73.89±5.64 mm) and CI value (4.21±0.90) were significantly higher than normal control whose Angle,MA and CI value was (68.63±5.74°),(62.33±6.31 mm) and (1.79±0.74) respectively (P<0.05).ConclusionThe hypercoagulable state exists in the patients with a large area of burn by the assessment of TEG.

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备注/Memo

备注/Memo:
作者简介:荆晶(1988-),女,硕士,技师,研究方向:临床输血。 通讯作者:胡兴斌,博士,副主任,讲师,主治医师。
更新日期/Last Update: 1900-01-01