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黏弹性止血试验导向的创伤性凝血病诊治

沈拓 朱峰

外科理论与实践2023,Vol.28Issue(5):425-431,7.
外科理论与实践2023,Vol.28Issue(5):425-431,7.DOI:10.16139/j.1007-9610.2023.05.06

黏弹性止血试验导向的创伤性凝血病诊治

Viscoelastic hemostasis assay guided diagnosis and treatment of trauma-induced coagulopathy

沈拓 1朱峰1

作者信息

  • 1. 同济大学附属东方医院重症医学科,上海 200120
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摘要

Abstract

The diagnosis and treatment of trauma-induced coagulopathy is an important part of the treatment of severe trauma patients.Trauma-induced coagulopathy has two phenotypes:hypercoagulability and hypocoagulability.The phenotype of coagulopathy in the early stage of trauma patients is variable.Viscoelastic hemostatic assay can reflect the full picture of coagulation in trauma patients.It can guide clinicians to quickly identify different phenotypes of trauma-induced coagulopathy,and fine manage different phenotypes of coagulopathy.This paper introduced the detection methods and principles of common viscoelastic hemostasis assays,and summarized the diagnosis and treatment methods based on viscoelastic hemostasis assay in different phenotypes of trauma-induced coagulopathy from literature,aimed to provide elicitation of diagnosis and treatment for clinicians.

关键词

黏弹性止血试验/创伤性凝血病/创伤/血栓弹力图/高凝血症

Key words

Viscoelastic hemostasis assay/Trauma-induced coagulopathy/Trauma/Thromboelastography/Hypercoagulability

分类

医药卫生

引用本文复制引用

沈拓,朱峰..黏弹性止血试验导向的创伤性凝血病诊治[J].外科理论与实践,2023,28(5):425-431,7.

基金项目

国家重点研发计划"干细胞及转化研究"重点专项(2019YFA0110601) (2019YFA0110601)

上海市急危重症临床医学研究中心(21MC1930400) (21MC1930400)

外科理论与实践

OACSTPCD

1007-9610

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