摘要
急性创伤性凝血病(ATC)是因严重组织损伤、低灌注等因素引起急性凝血功能障碍,具有较高的死亡率。ATC的病情呈动态演变过程,包括低凝、高凝、纤溶亢进等多个阶段,因此,及时准确地把握患者凝血状态对临床而言意义重大。文章主要就目前临床上常用的凝血相关检查项目如血小板计数、凝血指标、血栓弹力图等在ATC诊断和病情评估中的价值进行综述。
Acute traumatic coagulopathy induced by severe issue injury and hypoperfusion has high mortality.It is a dynamic and unpredictable entity progression including hypercoagulable,hypocoagulable and hyperfibrinolytic states.Clinicians are always dis?turbed with how to monitor the coagulation state of patients accurately and timely.So we reviewed previous literatures to illustrate the clinical values of coagulation function tests consist of platelet count,coagulation function indexes and thromboelastometry in diagnosis and disease severity evaluation of acute traumatic coagulopathy.
作者
孙融
王琴
SUN Rong;WANG Qin(Department of Intensive Care Unit,General Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China)
出处
《东南国防医药》
2019年第2期185-188,共4页
Military Medical Journal of Southeast China
关键词
急性创伤性凝血病
出凝血检查
诊断
病情评估
acute traumatic coagulopathy
coagulation function test
diagnosis
disease severity evaluation
