Application of thromboelastography in the treatment of hemorrhage due to ectopic pregnancy(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2018年第9期
- Page:
- 1108-1111
- Research Field:
- 医疗新技术
- Publishing date:
Info
- Title:
- Application of thromboelastography in the treatment of hemorrhage due to ectopic pregnancy
- Author(s):
- TIAN Hongxiang
- Department of Obstetrics, Xi’an No.4 Hospital, Xi’an 710000, China
- Keywords:
- Keywords: thromboelastogram; ectopic pregnancy; hemorrhage
- PACS:
- R714.2
- DOI:
- 10.3969/j.issn.1005-202X.2018.09.021
- Abstract:
- Abstract: Objective To discuss the therapeutic effects of thromboelastography on hemorrhage due to ectopic pregnancy. Methods
Atotal of 100 patients with hemorrhage due to ectopic pregnancy were selected as focus group, including 63 patients treated with
thromboelastography-guided therapy (group A) and 37 receiving treatment without the guidance of thromboelastography (group
B), and 50 healthy subjects were selected as control group. The differences in the indexes of blood routine test, coagulation
function and thromboelastogram were compared between the two groups. Results The hemoglobin, red cell counts, hematocrit
and blood platelet count in focus group were significantly lower than those in control group (P<0.05). After treatment, the
hemoglobin, red cell counts, hematocrit and blood platelet count in group A were significantly higher than those in group B
(P<0.05). Compared with control group, focus group showed significantly longer prothrombin time, activated partial prothrombin
time and thrombin time (all P<0.05), but had significantly lower level of fibrinogen, and the differences all had statistical
significance (P<0.05). After treatment, the prothrombin time, activated partial prothrombin time and thrombin time in group A
were significantly shorter than those in group B (P<0.05). For patients in group A receiving therapy with the guidance of
thromboelastogram, the values of R and K were significantly decreased (P<0.01), while α, the maximum thrombus elasticity and
the level of blood coagulation factors were significantly increased (P<0.01). Conclusion Thromboelastography is of great
significance in treating hemorrhage due to ectopic pregnancy.
Last Update: 2018-09-28