相关实验视频

Updated: May 30, 2025

Leveraging Turbidity and Thromboelastography for Complementary Clot Characterization

Leveraging Turbidity and Thromboelastography for Complementary Clot Characterization

Published on: June 4, 2020

在干预性肺病学手术中,用血栓显微镜进行出血风险评估

David Abia-Trujillo¹, Rodrigo Funes-Ferrada¹, Bryan F Vaca-Cartagena¹

¹Division of Pulmonary, Allergy, and Sleep Medicine, Mayo Clinic Florida, Jacksonville, FL, USA.

Respiratory medicine

|January 29, 2025

概括

血小板造影 (TEG) 显示出在干预性肺科 (IP) 程序中评估出血风险的前景,特别是由于其高特异性. 需要进一步的研究来确认其在识别高风险患者中的价值.

科学领域:

医学诊断医学诊断医学诊断
血液学血液学血液学
肺部病理学肺部病理学

背景情况:

血小板造影 (TEG) 提供了全面的凝血评估在 point-of-care.
在预测干预性肺科 (IP) 程序出血风险时TEG的实用性仍未得到充分研究.
标准凝血试验可能无法完全捕捉IP设置中的出血风险.

研究的目的:

评估TEG在接受选择性IP手术的患者出血风险评估中的有效性.
为了确定TEG是否可以识别出患有高出血风险的患者,但具有正常的标准凝血参数.

主要方法:

对76名接受选择性IP手术的患者进行了回顾性研究.
在手术前24小时内进行TEG;符合标准凝血标准.
使用经过验证的秤,费舍尔的精确测试和逻辑回归分析出血发生率.

主要成果:

17.1%的患者经历出血,尽管凝血板正常.
在预测出血风险方面,TEG具有高特异性 (94%),但敏感性低 (23%).
低凝血TEG结果与出血的概率增加了5.1倍 (p=0.066).

结论:

在IP中,TEG可能为手术前出血风险评估提供额外的价值.
泰格的高特异性特别值得注意,用于识别有风险的患者.
需要进行更大规模的研究来验证这些发现,并阐明TEG在IP出血风险分层中的作用.

关键词:

流血出血流血出血支气管镜检查 (bronchoscopy) 是一种支气管镜检查.干预性肺病学干预性肺病学胸腔镜检查胸腔镜检查胸腔镜检查血栓形成显微镜 (Thromboelastography) 是一种用于测试血栓的方法.

更多相关视频

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery

Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery

Published on: November 28, 2018

相关概念视频

Endoscopic Studies II: Thoracocentesis

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...