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大面积烧伤患者血栓弹力图检测的临床意义 被引量:4

Clinical Significance of Thrombelastography in Patients with a Large Area of Burn
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摘要 目的探讨血栓弹力图(TEG)在评价大面积烧伤患者体内凝血状态中的作用。方法对63例大面积烧伤患者(治疗组)进行TEG的测定,了解其凝血功能情况,并与52例健康体检者(对照组)的TEG相比较。结果60例大面积烧伤患者(治疗组)TEG均表现为高凝图像,R值(4.01±0.79min),K值(0.90±0.15min),Angle值(77.58±2.75°),MA值(73.89±5.64mm)及CI值(4.21±0.90),与对照组R值(4.66±0.92min),K值(1.45±0.48min)相比较,治疗组R,K明显缩短,差异具有统计学意义(P〈0.05)。与对照组Angle值(68.63±5.74°),MA值(62.33±6.31mm)及CI值(1.79±0.74)相比较,治疗组明显变大,差异具有统计学意义(P〈0.05)。结论大面积烧伤患者体内存在病理性高凝状态,应用TEG动态观察大面积烧伤患者凝血状态,对病情评估及指导治疗有重要意义。 Objective To investigate the effect of thrombelastography (TEG) on evaluating the blood hypercoagulability in large area of burn patients. Methods The TEG results from 63 large area of burn patients were collected, and compared with those of 52 healthy people to investigate their coagulating status. Results R value (4.01±0.79 rain) and K value (0.90±0. 15 rain) of TEG in the patients with a large area of burn were significantly shortened than those in normal control whose R and K value was (4.66±0.92 min) and (1.45±0.48 rain) respectively (P〈0.05). Angle value (77.58±2.75°) , MA value (73.89±5.64 ram) and CI value (4.21±0.90) were significantly higher than normal control whose Angle,MA and CI value was (68.63±5.74°), (62.33±6.31 mm) and (1.79±0.74) respectively (P〈0.05). Conclusion The hypercoagulable state exists in the patients with a large area of burn by the assessment of TEG.
作者 荆晶 胡兴斌
出处 《现代检验医学杂志》 CAS 2015年第6期156-159,共4页 Journal of Modern Laboratory Medicine
关键词 烧伤 血栓弹力图 临床应用 burn thrombelastography clinical application
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