中国实用外科杂志2017，Vol.37Issue(2)：103-110,8.DOI:10.19538/j.cjps.issn1005-2208.2017.02.02
出凝血功能检测项目在围手术期静脉血栓栓塞症诊治中的价值和意义
Value and clinic significance of detecting the hemostatic and coagulation function for the perioperaitive venous thromboembolism
摘要
Abstract
There is the important value with hemostasis and coagulation function tests in excluding diagnosis of venous thromboembolism (VTE), assisting diagnosis with thrombophilia, estimating risk of VTE and antithrombotics monitoring. The clinician should consider fully about population characteristics and drug influence before implementing the tests, and should understand with the major application rules of thrombosis tests, including (1) excluding diagnosis of VTE, to understand the diagnostic sensitivity with the D-dimer in the medical institution and ensuring safety and effectiveness; (2) the clinician should use different cut-off values for different population and aim of diagnosis and treatment; (3) it should understand the medical history and family history detailed before laboratory screening for patients with suspected genetic defects; (4) it should use the risk assessment model and pre-test probability to screen the patients which accord with test indications before lupus anticoagulant and heparin-induced thrombocytopenia antibody test performance.关键词
凝血试验/静脉血栓栓塞症/排除诊断/风险评估Key words
hemostasis and coagualtion tests/venous thromboembolism/excluding diagnosis/risk assessment分类
医药卫生引用本文复制引用
门剑龙..出凝血功能检测项目在围手术期静脉血栓栓塞症诊治中的价值和意义[J].中国实用外科杂志,2017,37(2):103-110,8.
