Value of Thromboelastography and Coagulation Tests in Guiding the Occurrence of DVT After Trauma Fracture Surgery
Objective:To clarify the application value of thromboelastography(TEG)and coagulation tests in guiding the prevention of deep vein thrombosis(DVT)following trauma fracture surgery.Methods:Eighty trauma fracture patients were divided into an observation group(DVT group,n=41)and a control group(non-DVT group,n=39)based on clinical test results,to evaluate the predictive efficacy of preoperative TEG and coagulation indices for DVT after trauma fracture surgery.Results:The control group had better surgi-cal outcomes with operation time,intraoperative blood loss,and incision size averaging(85.34±12.33)min,(113.53±25.79)ml,and(5.34±1.54)cm,respectively.Fracture healing time was shorter in the control group at(11.18±1.37)days compared to(15.26±1.75)days in the observation group(t=11.571,P=0.001).The control group also had superior coagulation function indicators(P<0.05).At T2,the obser-vation group showed higher values for clotting time(K),reaction time(R),angle of clot firmness(α),and maximum amplitude(MA)compared to the control group(P<0.05),indicating a hypercoagulable state.Postoperative K,α angle,MA,prothrombin time(PT),thrombin time(TT),and platelet count(PLT)val-ues between 0.7 and 1.0 showed high predictive value.Conclusion:Three parameters from TEG(K,α angle,MA)and coagulation tests(PT,TT,PLT)can effectively screen high-risk populations for postoperative DVT among trauma fracture patients.
ThromboelastographyCoagulation TestsTrauma FractureDeep Vein Thrombosis of Low-er Limbs
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维普
