血小板造影用于评估肝脏菌病患者在外科期间的凝血功能:一项回顾性研究
Xing Zheng1, Li Yuan2, Bingxian Wang1
1Department of Intensive Care Unit, Qinghai Provincial People's Hospital, Xining, China.
Frontiers in oncology
|September 8, 2025
概括
血小板造影 (TEG) 和常规检查显示,肝脏水性患者的凝血受损. TEG更敏感,提供了对外科手术期间凝血状况的全面了解.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 血液学 血液学 血液学
- 手术病理学手术病理学
背景情况:
- 肝液性疾病可能会影响凝血功能.
- 评估这些患者的凝血状况对于术后管理至关重要.
研究的目的:
- 评估TEG和常规凝血测试在评估肝脏水化症患者凝血功能的有用性.
- 为了比较肝酸患者和健康个体之间的凝血参数.
主要方法:
- 对69名肝炎患者和69名健康对照者的回顾性分析.
- 对TEG参数,常规凝血测试 (PT,FIB,PLT,TT,APTT,DD) 和血小板计数 (PLT) 的相关性分析.
- 组间和不同外科手术前时间点 (T1,T2,T3) 的TEG和凝血指数的比较.
主要成果:
- 与对照组 (P<0.05) 相比,肝水患者表现出明显不同的凝血参数 (APTT,R,角度,MA,CI).
- 在患者的术后期,TEG参数 (APTT,R,角度,MA) 显著下降 (P<0.05).
- 常规的凝血测试 (PT,TT,FIB) 显示,在术后期患者没有显著的变化 (P>0.05).
结论:
- 在术后期间,肝脏水化患者的凝血功能通常会降低.
- 与常规测试相比,TEG在检测外科手术期间的凝血变化方面表现出更高的灵敏度.
- TEG提供了肝炎患者凝血状况的全面评估.
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