Fekete L F, Bick R L
Semin Thromb Hemost. 1976 Oct;3(2):83-9. doi: 10.1055/s-0028-1086130.
This discussion has outlined several simple and reliable test systems which have been found useful in assessing disorders of hemostasis in the hemorrhaging CPB patient. When these tests are utilized as described in the preceding article, they have been extremely helpful in studying hemostasis in the CPB patient to be reexplored; they are equally helpful to quickly render a differential diagnosis of altered hemostasis when hemorrhage occurs. In addition, several "special" procedures, the AT-III and heparin assays, have been reviewed; these have been found quite useful in special instances of CPB hemorrhage, and community cardiovascular teams may wish them to be available. This paper has not presumed to be "authoritative" with respect to the "best" tests for assessing CPB hemostasis, but rather has offered only an approach helpful to the authors. The intent has, however, been to provide guidelines for instituting simple, reliable, and workable procedures for the community hospital where CPB is now routinely performed.
本讨论概述了几种简单可靠的测试系统，这些系统已被证明在评估体外循环（CPB）出血患者的止血障碍方面很有用。当按照前文所述使用这些测试时，它们在研究需要再次手术探查的CPB患者的止血情况时非常有帮助；当发生出血时，它们同样有助于快速对止血改变进行鉴别诊断。此外，还回顾了几种“特殊”程序，即抗凝血酶III（AT-III）和肝素测定；这些在CPB出血的特殊情况下已被证明非常有用，社区心血管团队可能希望能够进行这些检测。本文并未假定对于评估CPB止血的“最佳”测试具有“权威性”，而只是提供了一种对作者有帮助的方法。然而，其目的是为现在常规进行CPB的社区医院制定简单、可靠且可行的程序提供指导方针。
