【摘要】 血栓弹力图(TEG)对参与凝血的各成分(凝血因子、血小板、纤维蛋白原等的功能及纤溶过程)进行全面而整体的监测和评估,是目前国际公认的、可及时正确地反应机体凝血和纤溶功能状态的检测方法。神经外科重症患者较多,其中急性颅脑创伤、脑出血、颅内肿瘤均有较多的并发症,如伤后血肿进展性扩大、术后再出血、下肢深静脉血栓形成等,都需要行TEG监测,以预防再出血、下肢深静脉血栓形成,并及时调整相应的治疗措施,从而降低死亡率、致残率。本文围绕TEG在神经外科的临床应用展开综述。更多还原

【Abstract】 Thromboelastography(TEG) is an internationally recognized method to monitor and evaluate the function of coagulation factors, platelets, fibrinogen and fibrinolytic process, which can reflect the state of coagulation and fibrinolytic function timely and correctly. There are many serious neurosurgery patients with many complications, including acute brain trauma, cerebral hemorrhage and intracranial tumor, such as hematoma progression expansion, postoperative rebleeding, deep vein thrombosis of lower extremity, etc., all need to be monitored by TEG to prevent rebleeding and deep vein thrombosis of lower extremity, and adjust corresponding treatment measures in time, so as to reduce mortality and disability rate. This article reviews the clinical application of TEG in neurosurgery.更多还原