Franz R C, Coetzee W J
Surg Annu. 1981;13:75-107.
The thrombelastogram as designed by Hartert has now been in use for more than 30 years. Within 30 minutes, it provides a global account of clot formation and fibrinolysis or the time and degree of the interaction between the activators and inhibitors of both systems. On the basis of our own experience, it seems justifiable to assert that although its sensitivity to technical variables requires stringent laboratory control, the TEG offers a simple, reliable method of defining the key areas of hemostatic incompetence or for assessing the efficacy of a therapeutic program. Thrombelastographic hypercoagulability, which has deservedly been given prominence in the recent literature, may add an exciting dimension to the diagnostic spectrum of an elegantly conceived instrument.
由哈特尔特设计的血栓弹力图现已使用超过30年。在30分钟内，它能全面反映凝血和纤溶过程，或两个系统的激活剂与抑制剂之间相互作用的时间和程度。根据我们自己的经验，可以有理由断言，尽管其对技术变量的敏感性需要严格的实验室控制，但血栓弹力图提供了一种简单、可靠的方法来确定止血功能不全的关键领域或评估治疗方案的疗效。血栓弹力图显示的高凝状态在最近的文献中得到了应有的重视，这可能会为这一构思精巧的仪器的诊断范围增添一个令人兴奋的维度。
