首页|氨甲环酸改善创伤性颅脑损伤患者凝血功能机制的研究进展

氨甲环酸改善创伤性颅脑损伤患者凝血功能机制的研究进展

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创伤性颅脑损伤(TBI)后发生的凝血功能障碍是导致继发性脑损伤的重要原因之一,故早期评估TBI患者病情及改善临床预后对凝血功能障碍的诊断及干预尤为重要.氨甲环酸(TXA)作为抗纤维蛋白溶解剂,可抑制纤溶酶的作用,显示出抗纤溶、止血能力,从而改善凝血功能.本文从TBI后凝血功能障碍发生的机制、TXA作用机制等方面进行综述,从而为临床评估、治疗提供参考.
Research progress on the mechanism of tranexamic acid improving coagulation function in patients with traumatic brain injury
Coagulation dysfunction after traumatic brain injury(TBI)is one of the important causes of secondary brain injury.Therefore,early assessment of the condition of TBI patients and improvement of clinical prognosis are particularly important for the diagnosis and intervention of coagulation dysfunction.As an anti-fibrinolytic agent,tranexamic acid(TXA)can inhibit the action of plasmin,demonstrate anti-fibrinolytic and hemostatic abilities,and thus improve coagulation function.This article reviews the mechanism of coagulation dysfunction after TBI and the mechanism of TXA action,in order to provide reference for clinical evaluation and treatment.

traumatic brain injurytranexamic acidcoagulation function

滕绘、郐国虎、金胜昔

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武汉科技大学附属天佑医院神经外科,湖北 武汉 430064

创伤性颅脑损伤 氨甲环酸 凝血功能

湖北省教育厅科研指导性项目(2021)

B2021017

2024

局解手术学杂志
重庆市解剖学会,第三军医大学

局解手术学杂志

CSTPCD
影响因子:1.063
ISSN:1672-5042
年,卷(期):2024.33(4)
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