检验医学与临床2016，Vol.13Issue(23)：3294-3296,3.DOI:10.3969/j.issn.1672-9455.2016.23.006
血栓弹力图在妊娠合并血小板减少患者中麻醉选择的指导作用
The guiding role of TEG to choose the anesthesia method in the patients with thrombocytopenia
摘要
Abstract
Objective To investigate the effect of the thrombelastography (TEG) in the patient with thrombocytopenia and to guide the selection of anesthesia methods during perioperative period .Methods Seventy‐five cases of maternal from October ,2014 to May ,2016 in our hospital were selected in this study .All patients had no preoperative hematological diseases .All the patients were completely randomly assigned to 3 different groups according to the platelet count(PLT):group A (PLT :> 100 × 109/L) , group B[PLT(>80-100)× 109/L] and group C[PLT(60-80)× 109/L] .All the patient were done the four coagulation tests and TEG .The anesthesia methods were chosen according to the result of TEG and the amount of bleeding among the groups were com‐pared .Results The coagulation were in the normal range and the fibrinogen was higher in all patients ,these data indicate the pa‐tients were in high coagulation state .The TEG result indicated that the patient was in high coagulation state (R value was lower) in group A ,and the TEG was in the normal range in group B ,and in group C ,and the TEG results indicated that five patients′platelet aggregation function were lower(MA value was lower) .And the amount of bleeding among the groups had no significant differences (P>0 .05) .The patients with lower MA value was chosen the general anesthesia ,and all the other patients were chosen the epi‐dural anesthesia .The anesthesia method was statistically significant .Conclusion The TEG tests in perinatal pregnant women indi‐cate high coagulation state ,PLT aggregation may occur during perioperative period in patients with thrombocytopenia ,but the risk of bleeding is not higher than that of normal pregnant women .For patients with thrombocytopenia ,according to the results of TEG can guide the choice of anesthesia in the clinical work .关键词
血小板减少/血栓弹力描记术/麻醉/产科Key words
thrombocytopenia/thrombelastography/anesthesia/obstetrical引用本文复制引用
王群英,刘新伟..血栓弹力图在妊娠合并血小板减少患者中麻醉选择的指导作用[J].检验医学与临床,2016,13(23):3294-3296,3.基金项目
国家临床重点专科建设基金资助项目（财社［2011］170号）。 （）
