Author(s)

Yiwu Yan, Jinjun Li

The Medical College of Wuhan University of Science and Technology, Wuhan, China.

Objective: To detect the changes of coagulation function in patients with early hemorrhagic shock by thromboelastography (TEG). Methods: TEG was performed in 50 patients with early hemorrhagic shock and surgical indications. The TEG parameters were compared with 50 healthy people. The coagulation and fibrinolysis in patients with early hemorrhagic shock were observed. Results: In terms of coagulation parameters, the R value decreased, the α angle increased, and the K value and MA value did not change significantly in patients with early hemorrhagic shock. Fibrinolytic aspects: EPL, LY30 observations have no significant changes compared to normal values. Conclusion: The plasma coagulation factor activity is increased in patients with early hemorrhagic shock; the fibrin level is increased; the blood is in a hypercoagulable state; and the fibrinolysis function is not changed. The timely detection of TEG can be used for coagulation function monitoring and blood transfusion therapy in patients with surgical hemorrhagic shock. It provides an important basis for preventing the formation of deep vein thrombosis.

Thromboelastography, Early Hemorrhagic Shock, Coagulation Function, Fibrinolytic System, Deep Venous Thrombosis

Yan, Y. and Li, J. (2019) Value of Thromboelastography in Judging Abnormal Coagulation Function in Patients with Early Hemorrhagic Shock. International Journal of Clinical Medicine, 10, 70-77. doi: 10.4236/ijcm.2019.102007.