心脏手术后纤溶激活——血栓弹力图在诊断和治疗中的作用

[Fibrinolysis activation after cardiac surgery--role of thromboelastography in the diagnosis and treatment].

作者信息

Drwiła Rafał, Zietkiewicz Mirosław, Plicner Dariusz, Wasowicz Marcin, Słodowski Wojciech, Kapelak Bogusław, Andres Janusz, Sadowski Jerzy

机构信息

Klinika Chirurgii Serca, Naczyń i Transplantologii, Katedra Anestezjologii i Intensywnej Terapii, Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków.

出版信息

Kardiol Pol. 2004 Sep;61 Suppl 2:II125-30.

PMID:20527429

Abstract

Use of cardiopulmonary bypass in cardiac surgery strongly influences haemostatic system, activating fibrinolysis as well. The widespread use of antiplatelet and fibrinolytic drugs creates haemostatic disturbances in the perioperative period. Thromboelastography seems to be a useful tool in the assessment of this complex process, particularly in the early postoperative period.

摘要

心脏手术中体外循环的使用对止血系统有强烈影响，同时也激活纤溶系统。抗血小板和纤溶药物的广泛使用在围手术期造成止血紊乱。血栓弹力图似乎是评估这一复杂过程的有用工具，尤其是在术后早期。