颅脑车祸伤患者早期凝血功能检测及意义

Changes and Significance of PT, APTT, FIB, TT in Cerebral Trauma

目的探讨颅脑车祸伤患者的变化及临床意义。方法收集GCS评分13~15分50例;9~12分105例;3~8分48例;对照组105例。并检测PT、APTT、F＇IB、TT及血小板等凝血功能指标。结果 PT、APTT、TT、FIB、血小板与正常对照组有显着性差异;其凝血功能异常的变化与疾病严重程度相关。结论检测PT、APTT、TT、FIB及血小板变化可以了解颅脑车祸伤患者的凝血功能及判断疾病的严重程度,有助于颅脑车祸伤患者的诊断和治疗。

Objective To discuss the changes and clinical significance of PT,APTT,TT,FIB and blood platelet when patient suffered cerebral trauma in the traffic accidents.Methods Analysis was used to detect the samples of 105 cases in control group,50 cases in GCS 13-15,105 cases in GCS 9-12 and 48 cases in GCS 3-8.Results PT,APTT,TT of the patients were significantly different between observed group and control group.The varied degrees of cerebral trauma showed varied coagulation functions and it suggested that there was a relationship between them.Conclusion To detect PT,APTT,TT and evaluate the coagulation function of the patients might help to judge the severity of cerebral trauma and do good to diagnoses and treatmens.