Advances in the application of thromboelastography in patients with liver disease
10.3760/cma.j.issn.1673-4408.2023.10.006
- VernacularTitle:血栓弹力图在肝病中的应用进展
- Author:
Qi ZHANG
1
;
Jing XIA
;
Lingfen XU
Author Information
1. 中国医科大学附属盛京医院小儿消化内科，沈阳 110004
- Keywords:
Thromboelastography;
Liver disease;
Coagulation fuction;
Blood transfusion
- From:
International Journal of Pediatrics
2023;50(10):673-677
- CountryChina
- Language:Chinese
-
Abstract:
Coagulopathy in patients with liver disease is considered to be a fragile "rebalancing" state.Conventional coagulation test commonly used in clinic can not reflect the whole process of coagulation, so its application is limited.In recent years, thromboelastography has developed rapidly as a rapid and real-time detection method to evaluate the coagulation status of whole blood, and has unique advantages in the application of liver disease.The article reviews the application in transfusion guidance of thromboelastography and its association with severity of liver disease, bleeding, thrombosis, mortality and conventional coagulation testing.Although thromboelastography has some shortcomings, it can better reflect the real coagulation state of patients with liver disease and help reduce the use of blood products.Pediatric data are scarce, but the use of thromboelastography alone or in combination with conventional coagulation test will have broad prospects.
