血栓弹力图与输血管理

血栓弹力图作为一种便捷的床旁凝血检测手段，可全面反应凝血系统各个部分的信息。近年来，血栓弹力图的临床应用日益广泛，其在围手术期凝血功能监测及指导输血管理方面的重要作用引发了越来越多的关注。一系列研究证实血栓弹力图相关输血流程可以降低心脏、肝脏及创伤外科患者的输血量及死亡率。本文就血栓弹力图的工作原理及类型、血管弹力图相关输血流程和其在输血管理方面的应用进行了综述。

Thrombelastography and transfusion management

Thrombelastography is a convenient point-of-care coagulation test device, which could provide comprehensive information on coagulation system. In recent years, thrombelastography has been used in many clinical scenarios, and its application in the guidance of transfusion management especially has won much attention. A series of researches demonstrated that thrombelastography-based transfusion algorithms reduce transfusions and mortality rate in cardiac, liver and trauma surgery. Herein, we summarized the latest progress in the mechanism and type of thrombelastography, thrombelastography-based transfusion algorithms and its use in transfusion management.