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[通过血栓弹力图数据评估急性胃十二指肠出血时的凝血系统]

[Evaluation of the blood coagulating system in acute gastroduodenal hemorrhages by thromboelastographic data].

作者信息

Rumiantsev V V, Didenko V M

出版信息

Vestn Khir Im I I Grek. 1977 Feb;118(2):129-32.

PMID:300933
Abstract

Coagulation properties were studied thromboelastographically in 76 patients with acute gastroduodenal hemorrhages due to ulcerous disease of the stomach and duodenum, hemorrhagic gastritis and Mallory-Weiss syndrome. A certain regularity was revealed, i. e. the more profuse the hemorrhage the more frequent hypocoagulation associated with high fibrinolysis rate. With this in view transfusion therapy should be aimed not only at the replacement of circulary blood bolume but also at the suppression of high fibrinolytic activity of blood.

摘要

对76例因胃十二指肠溃疡病、出血性胃炎和马洛里-魏斯综合征导致急性胃十二指肠出血的患者进行了血栓弹力图凝血特性研究。揭示了一定的规律,即出血越严重,低凝血症越常见且纤溶速率越高。鉴于此,输血治疗不仅应旨在补充循环血容量,还应旨在抑制血液的高纤溶活性。

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