| 肝移植术中血栓弹力图和常规凝血监测指标相关性研究 |
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| 引用本文： | 李兵,姜一新,张宇,杜伟忠,苏纲,赵亚玲.肝移植术中血栓弹力图和常规凝血监测指标相关性研究[J].临床麻醉学杂志,2011,27(4). |
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| 作者姓名： | 李兵 姜一新 张宇 杜伟忠 苏纲 赵亚玲 |
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| 作者单位： | 昆明市第一人民医院麻醉科,650011 |
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| 摘 要： | 目的 观察肝移植术中血栓弹力图(TEG)和常规凝血监测指标的相关性.方法 行肝移植手术的患者40例,分别于麻醉诱导后(T1)、无肝期10 min(T2)、新肝期后15 min(T3)、关腹前30 min(T4)四个时点测定静脉血Plt、凝血酶原时间(PT)、国际标准化比值(INR)、凝血酶时间(TT)、激活部分凝血酶时间(APTT)、纤维蛋白原(FIB)及动脉血TEG指标:反应时间(R)、血块形成时间(K)、角度(α)、最大振幅(MA).结果 R与PT、INR、APTT成正相关(r分别为0.891、0.931、0.702,P<0.05或P<0.01),与FIB成负相关(r为-0.706,P<0.05).α与PT、INR、APTT成负相关(r分别为-0.864、-0.844、-0.678,P<0.05或P<0.01).MA与FIB、Plt成正相关(r分别为0.779、0.817,P<0.01),与PT、INR、APTT成负相关(r分别为-0.843、-0.829、-0.704,P<0.05或P<0.01).结论 肝移植术中TEG指标和常规凝血监测指标存在明显相关性.
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| 关 键 词： | 肝移植术 血栓弹力图 血凝检测 |
Correlation between thromboelastography and conventional blood coagulation monitoring in liver transplantation |
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| LI Bing,JIANG Yi-xin,ZHANG Yu,et al..Correlation between thromboelastography and conventional blood coagulation monitoring in liver transplantation[J].The Journal of Clinical Anesthesiology,2011,27(4). |
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| Authors: | LI Bing JIANG Yi-xin ZHANG Yu |
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| Institution: | LI Bing,JIANG Yi-xin,ZHANG Yu,et al.Department of Anesthesiology,The First People's Hospital of Kunming,Kunming 650011,China |
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| Abstract: | Objective To study the correlation between thromboelastography(TEG) and conventional blood coagulation monitoring in orthotopic liver transplantation.Methods Forty patients undergoing liver transplantation were studied.Venous and arterial blood samples were drawn for platelet count and determination of TT,APTT,PT,FIB and the values of TEG at 4 time points:after anesthesia induction,10 mins at anhepatic period,15 min after reperfusion and 30 mins before closing.Results There was a positive correlation betwee... |
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| Keywords: | Liver transplantation Thrombelastography Blood coagulation tests |
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