Rafiq Sulman, Steinbrüchel Daniel A, Johansson Pär I
Thoraxkirurgisk Afdeling, Rigshospitalet, København K.
Ugeskr Laeger. 2011 May 2;173(18):1287-90.
Viscoelastic haemostatic tests (VHT) like thrombelastography (TEG) and rotationel thrombelastometry (ROTEM) are cell-based whole blood assays, which assess the viscoelastic properties of coagulation. The focus of this narrative review is to describe the TEG/ROTEM methodology and interpretation of the TEG/ROTEM results. Current clinical applications and limitations are also discussed. It is concluded that VHT are inexpensive point of care assays that allow quick assessment of the haemostatic function and thereby allow faster and more focused interventions than traditional coagulation tests do.
黏弹性止血试验(VHT),如血栓弹力图(TEG)和旋转式血栓弹力测定法(ROTEM),是基于细胞的全血检测方法,用于评估凝血的黏弹性特性。本叙述性综述的重点是描述TEG/ROTEM方法以及TEG/ROTEM结果的解读。还讨论了当前的临床应用和局限性。得出的结论是,VHT是廉价的即时检测方法,能够快速评估止血功能,因此与传统凝血检测相比,可以实现更快、更有针对性的干预。