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中华产科急救电子杂志 ›› 2019, Vol. 08 ›› Issue (04) : 202 -205. doi: 10.3877/cma.j.issn.2095-3259.2019.04.003

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血栓弹力图对产科出血及输血的指导意义
吴珊1, 刘淮1,()   
  1. 1. 330006 南昌,江西省妇幼保健院产科
  • 收稿日期:2019-08-19 出版日期:2019-11-18
  • 通信作者: 刘淮

Thromboela-stogram in guiding obstetric hemorrhage and blood transfusion

Shan Wu1, Huai Liu1()   

  • Received:2019-08-19 Published:2019-11-18
  • Corresponding author: Huai Liu
引用本文:

吴珊, 刘淮. 血栓弹力图对产科出血及输血的指导意义[J]. 中华产科急救电子杂志, 2019, 08(04): 202-205.

Shan Wu, Huai Liu. Thromboela-stogram in guiding obstetric hemorrhage and blood transfusion[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2019, 08(04): 202-205.

产科出血一直是导致孕产妇死亡的主要原因。血栓弹力图(thrombelastography, TEG)是反应血液凝固动态变化的指标,能够评价凝血功能,弥补常规检查不能反映纤溶系统和血小板功能的缺陷。TEG可以实现对产科出血进行快速、准确、动态、直观的监测,帮助预防严重的产科出血。TEG为临床治疗提供直观依据的同时,也为产科输血治疗提供依据和指导,减少并发症的发生,避免血制品滥用。

Obstetric hemorrhage always been a leading cause of maternal mortality. Thrombelastography (TEG) is an indicator of the dynamic changes of coagulation clotting. TEG can evaluate the function of blood clotting and make up for the defects of conventional clotting detection when conventional clotting detection can't reflect the fibrous system and platelet function defect. TEG helps prevent severe obstetric hemorrhage by rapid, accurate, dynamic and direct monitor obstetric hemorrhage. TEG provides direction for clinical treatment and guidance for the transfusion of obstetric hemorrhage, which can help reduce the occurrence of complications and abuse of blood products.

图1 TEG检测原理示意图[8]
图2 孕妇血液高凝状态下TEG图谱
表1 产后出血管理的TEG指标[17]
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