摘要
为了更快更准确地了解患者的血液状态,血栓弹力图(Thromboelastography,TEG)和旋转血栓弹力图(Rotational Thromboelastometry,ROTEM)在临床中的应用越来越广泛。TEG和ROTEM是一种监测血凝块形成过程的动力学方法,具有检测时间短、操作简单、可真实反映血液状态的优点。TEG和ROTEM因操作特性差异而各有特点。本文重点通过对比介绍TEG和ROTEM原理及参数、围术期指导输血、性别对TEG和ROTEM的影响以及不同类型药物疗效监测进行综述。目前国内研究主要集中在TEG,对ROTEM在临床应用的文献较少,TEG和ROTEM为对照的临床研究为其在临床的进一步应用提供参考。
In order to understand the blood status of patients more quickly and accurately,the application of thromboelastography(TEG)and rotational thromboelastography(ROTEM)in clinical practice is becoming increasingly widespread.TEG and ROTEM are a dynamic method that can monitor the formation process of blood clots.They have the advantages of short detection time,simple operation and real reflection of blood status.TEG and ROTEM have their own characteristics due to their different operating characteristics.This article focused on the comparative introduction of the principle and parameters of TEG and ROTEM,perioperative blood transfusion guidance,the influence of gender on TEG and ROTEM,and the monitoring of the efficacy of different types of drugs.At present,domestic researches mainly focuses on TEG,and there are few literatures on the clinical application of ROTEM.Clinical studies using TEG and ROTEM as controls provide reference for its further clinical application.
作者
秦冠伦
丁玉美
QIN Guanlun;DING Yumei(Graduate School,Inner Mongolia Medical University,Hohhot Inner Mongolia 010010,China;Department of Anesthesiology,Affiliated The Second Hospital of Inner Mongolia Medical University,Hohhot Inner Mongolia 010010,China)
出处
《中国医疗设备》
2024年第3期174-180,共7页
China Medical Devices
关键词
血栓弹力图
旋转血栓弹力图
创伤
血液检测
治疗药物监测
thromboelastography
rotational thromboelastometry
trauma
blood detection
therapeutic drug monitoring
