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(经典)血栓弹力图曲线解读中诊断错误的潜在来源及预防措施概述。

An overview of the potential sources of diagnostic errors in (classic) thromboelastography curve interpretation and preventive measures.

作者信息

Mukhopadhyay Tapasyapreeti, Subramanian Arulselvi

机构信息

Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute Medical Sciences, New Delhi, 110029, India.

Room No. 207, Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute Medical Sciences, New Delhi, 110029, India.

出版信息

Pract Lab Med. 2020 Nov 28;22:e00193. doi: 10.1016/j.plabm.2020.e00193. eCollection 2020 Nov.

Abstract

Thromboelastography (TEG), a hemostatic point-of-care assay, provides global information about fibrin formation, platelet activation, and clot retraction in real-time. As it is an operator-dependent technique, error in any phase of the testing process can result in the misinterpretation of the thromboelastogram, and subsequently lead to mismanagement of the patient, wastage of blood products besides increasing the financial burden on the hospital and the patient. The present paper describes the possible errors leading to wrong thromboelastogram interpretation, and the respective preventive measure. In the light of limited resources available for operational challenges in TEG, this review paper can prove to be helpful.

摘要

血栓弹力图(TEG)是一种即时床旁止血检测方法,可实时提供有关纤维蛋白形成、血小板活化和血凝块回缩的全面信息。由于它是一种依赖操作人员的技术,检测过程中任何阶段出现误差都可能导致对血栓弹力图的错误解读,进而导致对患者的治疗不当、血液制品的浪费,此外还会增加医院和患者的经济负担。本文描述了可能导致血栓弹力图解读错误的误差以及相应的预防措施。鉴于应对TEG操作挑战的可用资源有限,这篇综述文章可能会有所帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1925/7723805/382abdf30501/gr1.jpg

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