Postoperative fibrinolysis diagnosed by thrombelastography

被引：6

作者：

Liu, G

Bowkett, J

Przybylowski, G

Bellomo, R

McNicol, PL

机构：

[1] Univ Melbourne, Dept Anaesthesia, Austin & Repatriat Med Ctr, Heidelberg, Vic 3084, Australia

[2] Austin & Repatriat Med Ctr, Intens Care Unit, Heidelberg, Vic, Australia

来源：

ANAESTHESIA AND INTENSIVE CARE | 2000年 / 28卷 / 01期

关键词：

coagulation : fibrinolysis; monitor : thrombelastography;

D O I：

10.1177/0310057X0002800115

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Thrombelastography is a useful method for the monitoring of bedside coagulation, especially for fibrinolysis, We report a case where thrombelastography facilitated early detection of fibrinolysis with significant clinical bleeding in a patient immediately following hip replacement surgery. The early diagnosis enabled institution of antifibrinolytic therapy and monitoring of the patient's response. It is likely to have led to less blood product transfusion and may possibly have prevented unnecessary surgical re-exploration.

引用

页码：77 / 81

页数：5

共 12 条

[1]

BUTLER MJ, 1978, THROMB HAEMOSTASIS, V39, P488

[2]

*HAEM CORP, 1999, THROMB US MAN

[3]

HOWLAND WS, 1974, ANESTH ANALG, V53, P657

[4]

KANG Y, 1987, ANESTHESIOLOGY, V66, P766

[5]

KANG YG, 1985, ANESTH ANALG, V64, P888

[6] PATTERNS OF COAGULOPATHY DURING LIVER-TRANSPLANTATION - EXPERIENCE WITH THE FIRST 75 CASES USING THROMBELASTOGRAPHY [J].

MCNICOL, PL ;

LIU, G ;

HARLEY, ID ;

MCCALL, PR ;

PRZYBYLOWSKI, GM ;

BOWKETT, J ;

ANGUS, PW ;

HARDY, KJ ;

JONES, RM .

ANAESTHESIA AND INTENSIVE CARE, 1994, 22 (06) :659-665

[7]

SCHWARTZ AJ, 1990, J CARDIOTHORAC ANEST, V4, P499

[8]

Spiess B D, 1987, J Clin Monit, V3, P25, DOI 10.1007/BF00770880

[9] PATHOLOGICAL FIBRINOLYSIS AS A CAUSE OF CLINICAL BLEEDING [J].

STUMP, DC ;

TAYLOR, FB ;

NESHEIM, ME ;

GILES, AR ;

DZIK, WH ;

BOVILL, EG .

SEMINARS IN THROMBOSIS AND HEMOSTASIS, 1990, 16 (03) :260-273

[10]

SUMMARIA L, 1986, THROMB HAEMOSTASIS, V56, P71

← 1 2 →