相关实验视频
Updated: Jun 9, 2025
09:15
In Vitro Thrombosis Test for Ventricular Assist Devices
Published on: March 21, 2025
488
粘弹性静血检测作为肝移植中高凝血的诊断工具:叙述性审查
Khaled Ahmed Yassen1, Dur I Shahwar1, Aqeel Qasem Alrasasi2
1Anaesthesia Unit, Surgery Department, College of Medicine, King Faisal University, P.O. Box 400, AlAhsa 31982, Saudi Arabia.
Journal of clinical medicine
|October 26, 2024
概括
粘弹性血液静止测试 (VETs) 在肝移植期间检测高凝血性方面表现有前途,优于标准凝血测试. 需要进行进一步的研究,为这种复杂的外科手术程序制定VET指导的治疗指南.
科学领域:
- 移植手术 移植手术
- 血液学 血液学 血液学
- 麻醉学 麻醉学
背景情况:
- 肝移植涉及复杂的凝血动态,存在高凝血和出血的风险.
- 末期肝病患者表现出微妙的血静平衡,容易转向血栓形成或出血.
- 外科手术期间的高凝血可导致严重的并发症,如肝移植中的血栓栓塞.
研究的目的:
- 评估粘弹性静血弹性试验 (VETs) 在肝移植期间诊断高凝血性的有效性.
- 为了比较VETs与标准凝血测试 (SCT) 的灵敏度,以检测早期高凝血.
- 突出需要基于证据的指导方针,以VET为指导,管理高凝血性.
主要方法:
- 审查最近关于肝移植中的凝血功能障碍的研究.
- 在VET (ROTEM,TEG) 和SCT (质血红素时间,aPTT) 之间对诊断能力的比较.
- 分析VET参数,包括凝血时间,凝血强度和纤维解.
主要成果:
- 标准凝血试验 (SCT) 诊断早期高凝血能力的能力有限.
- 粘弹性静血弹性试验 (VETs) 在识别患有血栓形成风险的患者方面表现出更高的灵敏度.
- 职业教育和培训提供了对凝块形成,强度和纤维素分解的全面评估.
结论:
- 与SCTs相比,VET提供了一个更敏感的方法来诊断肝移植接受者的高凝血性.
- 根据职业教育和培训的结果,有必要制定基于证据的预防和治疗指南.
- 优化职业教育和培训的利用可以改善患者的治疗结果,并减少肝移植后的血栓性并发症.
相关概念视频
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
2
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
2
01:29Venous Thrombosis III: Interprofessional Care
2
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
2