血液静止管理的关键触发值:对粘性弹性血液静止测试应用的叙述性综述
Zhi-Li Xu1,2, Han Cao1,2, Da-Wei Sun2
1School of Anesthesiology, Shandong Second Medical University, Weifang, Shandong, China.
Frontiers in medicine
|October 31, 2025
概括
粘弹性血液静止测试 (VHA) 提供快速,准确的全血测试,以控制出血. 这篇评论探讨了VHA.
科学领域:
- 麻醉学 麻醉学
- 血液学 血液学 血液学
- 关键护理医学 关键护理医学
背景情况:
- 粘弹性血液静止试验 (VHA),包括血栓凝固表 (TEG) 和旋转血栓凝固表 (ROTEM),在临床环境中越来越多地使用.
- 这些床边全血检测因其速度,准确性和可访问性而受到重视,从而在管理严重创伤,心脏手术,产后出血和肝脏疾病等复杂疾病方面得到了更广泛的应用.
研究的目的:
- 审查过去十年关于VHA的文献,重点关注高风险手术出血中静血管理的触发因素和算法.
- 将VHA的好处与传统的凝血测试和手术患者的临床判断进行比较.
主要方法:
- 在过去十年中对VHA应用进行了全面的文献搜索.
- 在高出血风险的手术中分析VHA引导的静血管理策略.
- 对VHA与传统凝血试验 (例如PT,PTT) 的潜在优势的审查.
主要成果:
- 越来越多的VHA用于管理复杂的出血情景.
- 对于手术患者的VHA导向凝血管理的指导方针仍未确定.
- VHA的潜在好处包括降低出血,减少异构血制品的使用,改善结果和提高成本效益.
结论:
- 在高出血风险的手术患者中,VHA在优化静血管理方面表现有前途.
- 需要进一步的研究和明确的指导方针,才能充分将VHA纳入常规临床实践,以改善患者的治疗结果和资源利用.
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