摘要
目的探讨恶性肿瘤患者手术前血栓弹力图(thromboelastography,TEG)与传统凝血试验(the routine coagulation tests)的各参数指标的相关性,分析2种检测方法在恶性肿瘤的应用。方法选取本院2019年1月至2020年6月同时检测TEG和传统凝血试验的79名手术前恶性肿瘤患者,进行各凝血参数指标相关性分析,并对相关参数进一步做回归分析。结果术前恶性肿瘤患者TEG参数中凝血形成时间(K)与血小板计数(Plt)和纤维蛋白原(FIB)呈负相关;凝固角(Angle)与FIB和Plt呈正相关;最大振幅(MA)与FIB和Plt呈正相关;凝血综合指数(CI)与FIB和Plt呈正相关;凝块强度(G)与FIB和Plt呈正相关。结论术前恶性肿瘤患者TEG参数与传统凝血试验的特定参数有一定的相关性,两者可以相互补充,不能相互替代。
Objective To investigate the correlation between preoperative thromboelastography(TEG)parameters and routine coagulation tests of malignant tumor patients.Methods A total of 79 patients with malignant tumors,receiving preoperative TEG tests and routine coagulation tests between January 2019 and June 2020,were included.The correlation and regression between coagulation indexes and TEG parameters were analyzed.Results In patients with malignant tumors,the coagulation time(K)was negatively correlated with Plt and fibrinogen(FIB),while Angle,Ma,and G were respectively positively correlated with Plt and FIB.Conclusion There is a correlation between preoperative TEG parameters and routine coagulation tests in patients with malignant tumors.There is complementarity but not reciprocal substitutability between these two tests.
作者
陈德娟
吴巨峰
蔡兴权
徐春柳
叶彩利
黄瑛
CHEN Dejuan;WU JuFeng;CAI XingQuan;XU Chunliu;YE Caili;HUANG Ying(Department of Blood Transfusion,Hainan General Hospital,Haikou 570311,China)
出处
《中国输血杂志》
CAS
2022年第3期331-333,共3页
Chinese Journal of Blood Transfusion
基金
海南地区血栓弹力图参考区间的建立(20A200036)。
关键词
恶性肿瘤
血栓弹力图
凝血试验
malignant tumor
thromboelastography(TEG)
routine coagulation test