中国体外生命支持2026，Vol.24Issue(1)：62-67,6.DOI:10.13498/j.cnki.chin.j.ecls.2026.01.12
黏弹性止血试验在体外膜氧合抗凝中的应用进展
Application Progress of Viscoelastic Hemostatic Assay in Extracorporeal Membrane Oxygenation Anticoagulation Man-agement
吕竹 1温君琳 2范晓岚 3刘浩 3廖小卒 4李斌飞4
作者信息
- 1. 广东医科大学,广东 湛江 524023
- 2. 广东省中山市人民医院麻醉科,广东 中山 528403
- 3. 深圳大学,广东 深圳 518055
- 4. 广东医科大学,广东 湛江 524023||广东省中山市人民医院麻醉科,广东 中山 528403
- 折叠
摘要
Abstract
Extracorporeal membrane oxygenation(ECMO)serves as an essential life-support intervention for critically ill patients.Despite its life-saving potential,ECMO is associated with a considerable incidence of hemorrhagic and thrombotic complications,which significantly compromise patient prognosis.Consequently,the accurate assessment of bleeding risk and precise management of anticoagulation and transfusion therapy have emerged as paramount clinical priorities.Viscoelastic hemostatic assay(VHA),which provides a dynamic,real-time profile of the hemostatic process,is being increasingly integrated into the anticoagulation management of ECMO patients due to its rapidity and comprehensive nature.This review systematically evaluates the correlation between VHA and conventional laboratory assays in the context of bleeding and anticoagulation monitoring,and critically appraises the evolving role of VHA in guiding ECMO anticoagulation.Focusing on clinical studies from the past 10 years,this review comprehensively evaluates the current applications and future directions of this technology in clinical practice,with the aim of providing a theoretical basis and practical guidance for anticoagulation management and transfusion strategies in ECMO patients.关键词
体外膜氧合/黏弹性止血试验/血栓弹力图/抗凝管理/输血Key words
extracorporeal membrane oxygenation/viscoelastic hemostatic assay/thrombelastography/anticoagulation management/transfusion引用本文复制引用
吕竹,温君琳,范晓岚,刘浩,廖小卒,李斌飞..黏弹性止血试验在体外膜氧合抗凝中的应用进展[J].中国体外生命支持,2026,24(1):62-67,6.
