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血栓弹力图对重症肺部感染患者凝血功能评估的价值 被引量:3

The Value of Thromboelastography in the Evaluation of Coagulation Function in Patients with Severe Pulmonary Infection
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摘要 目的探讨血栓弹力图(TEG)对重症肺部感染患者凝血功能评估的临床价值。方法选取我院2017年1月~2020年1月62例重症感染患者为对象,均接受TEG及凝血四项检测。分析两种方法诊断凝血功能异常的价值。结果TEG检测凝血功能异常48例(77.42%),高于凝血四项检查(36(58.06%),P<0.05)。相关性分析显示,TEG的R与aPTT、PT正相关,与Fbg负相关(均P<0.05),与PLT无相关性(P>0.05);K值与PLT、Fbg负相关(均P<0.05),与aPTT、PT无相关性(P>0.05);α-Angle值与aPTT、PT正相关,PLT、Fbg负相关(均P<0.05);MA值与PLT、aPTT、Fbg正相关(均P<0.05),与PT无相关性(P>0.05)。TEG诊断凝血功能异常的AUC高于凝血四项(Z=2.729,P=0.006)。结论TEG评估凝血功能异常的准确性更高,且其参数与凝血四项存在相关性。
作者 侯晶星 孙章萍 陈洪波 HOU Jing-xing;SUN Zhang-ping;CHEN Hong-bo(The Central Hospital of Yingkou,Yingkou,115000,China)
机构地区 营口市中心医院
出处 《血栓与止血学》 2020年第4期621-622,625,共3页 Chinese Journal of Thrombosis and Hemostasis
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