Hernandez Conte Antonio, Perotti Deena, Farac Lauren
1 Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.
2 Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Semin Cardiothorac Vasc Anesth. 2017 Sep;21(3):212-216. doi: 10.1177/1089253217699282. Epub 2017 Mar 20.
Since their introduction into clinical practice in the early 1960s, viscoelastic point-of-care (POC) testing-thromboelastrography (TEG) and thromboelastrometry (ROTEM)-has become increasingly popular in intensive care units, operating rooms, and emergency room settings. As TEG has been an established POC viscoelastic testing modality for many years, there has been more research and analysis of its utility and ability to reduce transfusions in the general, cardiac, and liver surgical sectors compared with ROTEM. The role of TEG versus ROTEM has been greatly disputed, although both continue to be utilized in the cardiac suite to guide transfusion in cardiac surgery as these procedures produce a profoundly different form of bleeding compared to other surgical interventions.
自20世纪60年代初引入临床实践以来，粘弹性即时检验（POC）——血栓弹力图（TEG）和血栓弹力测定法（ROTEM）——在重症监护病房、手术室和急诊室环境中越来越受欢迎。由于TEG多年来一直是一种既定的POC粘弹性检测方式，与ROTEM相比，在普通外科、心脏外科和肝脏外科领域，对其效用和减少输血能力的研究和分析更多。尽管在心脏手术中，TEG和ROTEM都继续被用于指导输血，因为这些手术与其他外科干预相比会产生截然不同的出血形式，但TEG与ROTEM的作用一直存在很大争议。
