Medical Intensive Care Unit, Division of Allergy, Pulmonary, and Critical Care Medicine, T-1210 MCN Vanderbilt Medical Center, Nashville, TN 37232-2650, USA.
Chest. 2010 Jan;137(1):185-94. doi: 10.1378/chest.08-2535.
This manuscript provides an overview of how to interpret in vitro clotting studies and how to select studies to evaluate patients with bleeding disorders in the ICU. It provides a practical approach to understanding the complex subject of clotting factor abnormalities, including the most common problems of preanalytical error and anticoagulation therapy. Limitations and pitfalls of diagnostic testing are highlighted.
这篇手稿提供了如何解读体外凝血研究以及如何选择研究来评估 ICU 中出血性疾病患者的概述。它提供了一种实用的方法来理解凝血因子异常这一复杂主题,包括最常见的分析前误差和抗凝治疗问题。还强调了诊断检测的局限性和陷阱。