摘要
小腿肌间静脉血栓(calf muscle venous thrombosis,CMVT)具有潜在致死性的危险,目前国内对CMVT诊疗存在一定争议性,下肢静脉彩超、造影及CT等对于部分高危患者的诊断并不太适用,导致已经形成CMVT的患者没有及时调整抗凝方案,增加发生静脉血栓栓塞症(venous thromboembolism,VTE)的风险。而根据凝血功能的变化预警CMVT的发生或诊断CMVT为CMVT的诊疗和预防提供新的参考。传统凝血功能检查(conventional coagulation tests,CCT)仅反应凝血全程的某个阶段,其准确性有待商榷。血栓弹力图(thromboelastography,TEG)在监测凝血功能变化方面具有一定优势,TEG能客观、准确地反映凝血全貌,从而为调整抗凝方案提供坚实的根据,更好地预防和治疗CMVT。本文主要探讨血栓弹力图在小腿肌间静脉血栓诊疗中的研究进展。
Calf muscular venous thrombosis(CMVT)is potentially fatal.At present,there is a certain controversy in the diagnosis and treatment of CMVT in China.Early warning or diagnosis of CMVT according to the change of coagulation function provides a new reference for the diagnosis,treatment and prevention of CMVT.The traditional coagulation test(CCT)only reflects a certain stage of the coagulation process,and its accuracy remains to be evaluated.Thrombo elasto graphy(TEG)has certain advantages in monitoring the changes of coagulation function.TEG can objectively and accurately reflect the whole picture of coagulation,so as to provide a solid basis for adjusting anticoagulation programs and better prevention and treatment of CMVT.This article reviews the research progress of thrombelastography in the diagnosis and treatment of calf muscular venous thrombosis.
作者
张中清
孙金磊
ZHANG Zhongqing;SUN Jinlei(Department of Joint and Sports Medicine,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou Inner Mongolia 014010,China)
出处
《中国卫生标准管理》
2023年第13期195-198,共4页
China Health Standard Management
基金
内蒙古自治区自然科学基金项目(2021MS08052)。
关键词
血栓弹力图
小腿肌间静脉血栓
诊断
治疗
研究
进展
thromboelastography
calf muscle venous thrombosis
diagnosis
treatment
research
progress
