血栓弹力图指导围手术期临床输血的应用价值

Value of Thromboelastography in Guiding Perioperative Clinical Blood Transfusion

目的评估血栓弹力图指导围手术期临床输血的应用价值。方法抽取2017年6月—2018年5月到该院行手术治疗,术中出血量超过1 000 mL的82例病例,全部病例均选用血栓弹力图检测结果指导输血,记录各指标变化。结果入选的82例病例术前反应时间(5.05±1.45)min,术中输血前是(7.11±2.16)min,术中输血后是(5.90±2.16)min,术后24 h是(5.32±1.25)min,差异有统计学意义(t=21.265,P<0.05)。此外,入选病例K值、最大振幅以及心脏指数在术前、术中输血前、术中输血后、术后24 h等不同时间段内比较同样表现出差异。结论对围手术期病例选用血栓弹力图指导输血,可明显优化输血方法,临床应用价值较显著,建议推广应用。

Objective To evaluate the value of thromboelastography in guiding perioperative clinical blood transfusion. Methods From June 2017 to May 2018, 82 cases of surgical treatment were performed in the hospital. The blood loss of more than 1 000 mL was used in all cases. All cases were selected with thromboelastography to guide blood transfusion, and the changes of each index were recorded. Results The preoperative response time （5.05±1.45） min of the selected 82 cases was （7.11±2.16） min before intraoperative blood transfusion, and （5.90±2.16） min after intraoperative blood transfusion and （5.32±1.25） min at 24 h after surgery, showing a difference （t=21.265, P〈0.05）. In addition, the K value, maximum amplitude, and cardiac index of the selected cases also showed differences in preoperative, intraoperative blood transfusion, intraoperative blood transfusion, and postoperative 24 hours. Conclusion For the perioperative cases, the thrombus elasticity diagram is used to guide blood transfusion, and the blood transfusion method can be optimized. The clinical application value is more significant. It is recommended to promote the application.