论文部分内容阅读
目的探讨脑梗死患者治疗前后及继发出血者血栓弹力图(thrombelastogram,TEG)的变化。方 法采用全血复钙法对156例急性脑梗死患者治疗前常规行TEG检测,并与其治疗后及继发出血后的TEG对比观察。结果急性脑梗死患者经系统治疗后,血液的高凝状态均转化为低凝状态(P<0.01),出血性脑梗死组血液低凝状态较未出血组更为明显(P<0.01)。结论 TEG可用于急性脑梗死血液凝固性的监测,对指导治疗及预防继发出血有意义。
Objective To investigate the changes of thrombelastogram (TEG) in patients with cerebral infarction before and after treatment and secondary hemorrhage. Methods TCD was performed routinely in 156 patients with acute cerebral infarction before and after treatment with whole blood calcium supplement and compared with TEG after treatment and secondary hemorrhage. Results After the systemic treatment of patients with acute cerebral infarction, the hypercoagulable state of the blood turned into a low coagulation state (P <0.01). The blood coagulation status of the patients with acute cerebral infarction was more obvious than that of the non-bleeding group (P <0.01). Conclusion TEG can be used for the monitoring of blood coagulation in acute cerebral infarction, and it is significant to guide the treatment and prevention of secondary hemorrhage.