Gonzalez Eduardo, Moore Ernest E, Moore Hunter B
Department of Surgery, University of Colorado, 12700 East 19th Avenue, Denver, CO 80045, USA.
Department of Surgery, University of Colorado, 12700 East 19th Avenue, Denver, CO 80045, USA; Department of Surgery, Denver Health Medical Center, 77 Bannock Street, Denver, CO 80204, USA; Editorial office, Journal of Trauma and Acute Care Surgery, 655 Broadway, Suite 365, Denver, CO 80203, USA.
Crit Care Clin. 2017 Jan;33(1):119-134. doi: 10.1016/j.ccc.2016.09.002.
Viscoelastic assays, such as thrombelastography (TEG) and rotational thrombelastometry (ROTEM), have emerged as point-of-care tools that can guide the hemostatic resuscitation of bleeding injured patients. This article describes the role of TEG in contemporary trauma care by explaining this assay's methodology, clinical applications, and result interpretation through description of supporting studies to provide the reader with an evidence-based user's guide. Although TEG and ROTEM are assays based on the same viscoelastic principle, this article is focused on data supporting the use of TEG in trauma, because it is available in trauma centers in North America; ROTEM is mostly available in Europe.
黏弹性检测，如血栓弹力图（TEG）和旋转血栓弹力测定法（ROTEM），已成为可指导出血受伤患者进行止血复苏的即时检测工具。本文通过解释该检测方法、临床应用以及通过对支持性研究的描述进行结果解读，来描述TEG在当代创伤护理中的作用，为读者提供一份基于证据的用户指南。尽管TEG和ROTEM是基于相同黏弹性原理的检测方法，但本文重点关注支持TEG在创伤中应用的数据，因为它在北美的创伤中心可用；ROTEM大多在欧洲可用。
