不同Child-Pugh分级的肝硬化患者73例凝血功能分析

The coagulation function of 73 patients with different Child-Pugh grading of liver cirrhosis were analyzed retrospectively

目的分析不同Child-Pugh分级的肝硬化患者凝血功能并探讨其意义。方法回顾性分析我院2015年1月—2016年1月住院的73例肝硬化患者,按Child-Pugh分级分为A级、B级、C级3组,分别测量各组患者凝血四项和D-二聚体。结果肝硬化患者随着Child-Pugh分级积分的增加其凝血四项与D-D水平也有所不同,且APTT、PT、TT与D-D指标水平均有明显上升,而FIB指标水平则呈现逐级下降。结论肝硬化患者的血液呈低凝状态,凝血功能检测可以反映肝硬化患者的出凝血状态,为临床治疗提供依据。

Objective Analysis of coagulation function in patients with cirrhosis of different child-Pugh classification and its significance.Methods Retrospective analysis of the hospital in January 2015 ~ January 2016 in 73 patients with cirrhosis of the liver were divided into Grade A,grade B,grade C 3 groups,respectively,measurement of four patients with coagulation and D- two polymer.Results Cirrhotic patients with child Pugh score increased the four parameters of blood coagulation and D-D levels are different and APTT,Pt,TT and D-D levels,has appeared obviously increased,and FIB level showed a gradual decline.Conclusion The blood of patients with cirrhosis of the liver was low coagulation state,the detection of coagulation function can reflect the blood coagulation status of patients with cirrhosis,as a guide for the treatment of doctors.