Role of thromboelastography in clinical emergency trauma patients

F. Geng, Xiaoxi Liu, P. Fang, Haiying Hu, Xiaoqiong Deng, Wen Wang, Yin Li, Y. Lai, X. Zhong
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Abstract

This study aimed to investigate dynamic changes in thromboelastography (TEG) and evaluate its value for emergency trauma patients. TEG values (R, K, Angle, MA and CI) were detected l, 3, and 7 days post trauma. Followup prognosis data were recorded among all patients and correlations between TEG changes and prognosis were assessed. The results revealed that the K and R volumes of the poor prognosis group were obviously higher than those of the good prognosis group at each time point; while the Angle, MA, and CI volumes of the poor prognosis group were relatively lower than those of the good prognosis group, and showed a little rising tendency. This study suggests that variables measured by TEG were closely associated with prognosis evaluation, and highlighted the dangers of coagulation disorder at early stage. TEG is of benefit in evaluating the function of coagulation in clinical emergency trauma patients.
血栓弹性成像在临床急诊创伤患者中的作用
本研究旨在探讨血栓弹性成像(TEG)的动态变化,并评估其在急诊创伤患者中的价值。分别于伤后1、3、7天检测TEG值(R、K、Angle、MA、CI)。记录所有患者的随访预后资料,并评估TEG变化与预后的相关性。结果显示,各时间点预后不良组的K、R体积均明显高于预后良好组;而预后较差组的Angle、MA、CI体积均较预后较好组低,且呈小幅上升趋势。本研究提示TEG测量的变量与预后评价密切相关,突出了早期凝血功能障碍的危险性。TEG对临床急诊创伤患者凝血功能的评价具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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