在受伤的儿童中,血栓结晶学概况的年龄相关变化
Katrina M Morgan1, Elissa Abou-Khalil, Stephen Strotmeyer
1From the Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
The journal of trauma and acute care surgery
|June 15, 2023
概括
儿科创伤患者根据年龄表现出不同的血栓形成显微镜 (TEG) 样本. 婴儿表现出高凝血性,而青少年表现出低凝血性,影响损伤评估和治疗.
科学领域:
- 儿科创伤学 儿科创伤学
- 血液静止和血栓形成
- 临床凝血分析
背景情况:
- 受伤儿童的凝血特征还没有很好地定义.
- 血栓形成显微镜 (TEG) 档案在儿童年龄组之间可能有显著差异.
研究的目的:
- 调查儿科创伤患者凝血概况的年龄特异性差异.
- 为了确定血栓形成显微镜 (TEG) 参数是否在不同的儿科年龄类别之间有所不同.
主要方法:
- 726名儿科创伤患者 (年龄<18岁) 以TEG数据进行了回顾性分析.
- 患者被分为五个年龄组:婴儿,幼儿,幼儿,幼儿,老年儿童和青少年.
- 使用克鲁斯卡尔-瓦利斯和恩的测试,在不同组之间比较TEG值,并对共变量进行调整.
主要成果:
- 在不同年龄组中观察到TEGα角,MA和LY30的显著差异.
- 婴儿显示高凝血概况 (较高的α角和MA),而青少年显示低凝血概况 (较低的α角,MA和LY30).
- 在幼儿,幼儿和中年儿童群体之间没有发现显著差异.
结论:
- 在儿童创伤患者中,TEG概况的年龄相关差异明显.
- 儿童 (婴儿和青少年) 极端时期的独特凝血概况需要进一步调查.
- 需要评估这些特定年龄的TEG变异对结果和治疗的临床影响.
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