Abstract：【Objective】To explore the significance of thromboelastography (TEG) in blood transfusion of patients with traumatic hemorrhagic shock.【Methods】A total of 104 Patients with traumatic hemorrhagic shock treated in our hospital from January 2018 to December 2020 were selected. Among them, 52 cases in the control group did not undergo TEG examination before receiving blood transfusion, while 52 cases in the observation group received blood transfusion under the guidance of TEG. The coagulation function tests such as activated partial thromboplastin time (APTT), prothrombin time (PT), thrombin time (TT) and fibrinogen (FIB), the TEG test results ( R value, K value, α angle and MA value) before and after blood transfusion, the amount of blood component infusion and the prognosis of the two groups were compared.【Results】The levels of APTT, PT, TT after blood transfusion in the two groups were lower than that before blood transfusion (P<0.05), while the FIB level was higher (P<0.05). After blood transfusion, the levels of APTT, PT, and TT in the observation group were lower than those in the control group (P<0.05), and the FIB level in the observation group was higher than that in the control group (P<0.05). In the observation group, the R value and K value after blood transfusion were lower than before (P<0.05), and α angle and MA value were increased (P<0.05). The amount of RBCs and plasma in the observation group was lower than that of the control group, while the amount of cryoprecipitate and platelets was higher than that in the control group (P<0.05).【Conclusion】TEG can provide a reasonable strategy for blood transfusion in patients with traumatic hemorrhagic shock by improving blood coagulation function more effectively, which has great clinical value.
代思源, 谷兰. TEG指导创伤失血性休克患者输血的应用评价[J]. 医学临床研究, 2021, 38(9): 1361-1363.
DAI Si-yuan, GU Lan. Evaluation on the Application of TEG in Blood Transfusion in Patients with Traumatic Hemorrhagic Shock. JOURNAL OF CLINICAL RESEARCH, 2021, 38(9): 1361-1363.
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2021, Vol. 38 
