Guiding value of thromboelastography in blood transfusion therapy for patients undergoing liver rupture repair
10.3969/j.issn.1673-4130.2025.14.009
- VernacularTitle:血栓弹力图对肝破裂修补术患者输血治疗的指导价值
- Author:
Dan CHEN
1
;
Gaimei CHEN
;
Yuan NIU
;
Lijing HUANG
;
Mingjuan MA
;
Jie WANG
;
Xiaoyan YANG
Author Information
1. 宁夏医科大学总医院输血科,宁夏 银川 750001
- Keywords:
thromboelastography;
liver rupture repair;
blood transfusion
- From:
International Journal of Laboratory Medicine
2025;46(14):1715-1718,1724
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the guiding value of thromboelastography(TEG)in blood transfusion therapy for patients undergoing liver rupture repair.Methods A total of 106 patients who underwent liver rupture repair and were admitted to the hospital from June 2021 to June 2024 were selected.According to the random number table method,the patients were divided into 53 patients who underwent liver rupture repair with TEG detection blood transfusion(study group)and 53 patients who underwent liver rupture repair with conventional coagulation function detection blood transfusion(control group).General information of patients was collected.The levels of coagulation function indicators,the dosage of blood products and intraoperative complications of patients in the study group and the control group before blood transfusion and 24 hours after blood transfusion were compared.Results 24 hours after blood transfusion,the fibrinogen level in the study group was higher than that in the control group,while the prothrombin time,activated partial thromboplastin time and thrombin time were shorter than those in the control group,and the differences were statistically sig-nificant(P<0.05).The dosages of red blood cells,frozen plasma,platelets and cryoprecipitate in the study group were all lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of intraoperative complications in the study group was lower than that in the con-trol group,and the difference was statistically significant(P<0.05).Conclusion TEG has significant guiding value in blood transfusion therapy for patients undergoing liver rupture repair.
