血栓弹力图在产妇病理事件导致播散性血管内凝血时的诊断价值

Diagnostic Value of Thromboelastography in Maternal Pathology Events led to The Disseminated Intravascular Coagulation

目的评价血栓弹力图(TEG)对30例病理产科临床疑为并发DIC患者,诊断的预示价值。方法采取2016年4月至2019年4月笔者所在医院收治的30例病理产科临床疑为并发DIC(胎盘早剥、羊水栓塞、子痫各10例)的临床资料,分析入院时与拟诊DIC时凝血功能与TEG检测的变化。结果与入院时相比,30例患者疑为并发DIC凝血功能与TEG检测均有变化,但凝血功能不能达到DIC诊断标准,而TEG检测明显呈现持续高凝、预示血栓形成的高风险。结论TEG是评价病理产科临床疑为并发DIC的良好方法,可为临床治疗提供参考。

Objective clinical suspected Disseminated Intravascular Coagulation(DIC)patients,the fore shadowed value of diagnosis.Methods The clinical data of 30 pathological obstetrics cases admitted to the hospital from April2016 to April 2019 were 10 cases of concurrent DIC(placental early peeling,amniotic fluid embolism,eclampsia)and the changes in blood clotting function and TEG detection were analyzed at the time of admission and the proposed diagnosis.Results Compared with admission,30 patients were suspected to have variations in concurrent DIC clotting function and TEG detection,but the clotting function could not meet the DIC diagnostic standard,and TEG detection showed a high risk of persistent high coagulation and indicated thrombosis.Conclusion TEG is a good method to evaluate the clinical suspicion of pathological obstetrics as concurrent DIC,which can provide reference for clinical treatment.