Management of Trauma-Induced Coagulopathy with Thrombelastography

被引：101

作者：

Gonzalez, Eduardo ^{[1
]}

Moore, Ernest E. ^{[1
,2
,3
]}

Moore, Hunter B. ^{[1
]}

机构：

[1] Univ Colorado, Dept Surg, 12700 East 19th Ave, Denver, CO 80045 USA

[2] Denver Hlth Med Ctr, Dept Surg, 77 Bannock St, Denver, CO 80204 USA

[3] Journal Trauma & Acute Care Surg, Editorial Off, 655 Broadway,Suite 365, Denver, CO 80203 USA

来源：

CRITICAL CARE CLINICS | 2017年 / 33卷 / 01期

关键词：

Coagulopathy; Resuscitation; Thrombelastography; TEG; Fibrinolysis; Transfusion; PRINCIPAL COMPONENT ANALYSIS; CITRATED WHOLE-BLOOD; COAGULATION; RESUSCITATION; THROMBOELASTOGRAPHY; FIBRINOLYSIS; FIBRINOGEN; HYPERFIBRINOLYSIS; PLASMA; SHOCK;

D O I：

10.1016/j.ccc.2016.09.002

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Viscoelastic assays, such as thrombelastography (TEG) and rotational thrombelastometry (ROTEM), have emerged as point-of-care tools that can guide the hemostatic resuscitation of bleeding injured patients. This article describes the role of TEG in contemporary trauma care by explaining this assay's methodology, clinical applications, and result interpretation through description of supporting studies to provide the reader with an evidence-based user's guide. Although TEG and ROTEM are assays based on the same viscoelastic principle, this article is focused on data supporting the use of TEG in trauma, because it is available in trauma centers in North America; ROTEM is mostly available in Europe.

引用

页码：119 / +

页数：17

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