电邮这篇文章 用旋转血栓弹性照相法诊断重度先兆子痫孕妇出血并发症风险的可行性评价
- 作者: Peretyatko I.S.1, Mozgovaya E.V.1,2
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隶属关系:
- The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
- Saint Petersburg State University
- 期: 卷 70, 编号 2 (2021)
- 页面: 37-44
- 栏目: Original study articles
- URL: https://journal-vniispk.ru/jowd/article/view/71083
- DOI: https://doi.org/10.17816/JOWD71083
- ID: 71083
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详细
目的是在两个筛查测试 EXTEM 和 INTEM 中使用旋转血栓弹力图 (ROTEM) 来确定重度先兆子痫孕妇出血并发症的风险。
材料和方法。我们检查了 30 名在产科重症监护室FSBI“NII AGiR D.O. Otta»观察到的重度子痫前期孕妇。对照组由 10 名生理性妊娠患者组成，他们因与产科并发症无关的原因以计划方式剖腹产。
结果。在解释 ROTEM 分析的结果时，使用了妊娠晚期孕妇的参考区间，在 J. Lee et al. (2019) 研究中定义。-根据对重度前兆子痫孕妇血栓弹性图的分析，9名（30%）患者出现了向低凝方向偏移。其中，三个血栓弹力图沿内部凝血途径（在 INTEM 测试中）进行，三个 - 沿外部凝血途径（在 EXTEM 测试中），以及三个结合这两种选择。两名患有严重先兆子痫的患者出现了 HELLP 综合征形式的并发症，根据分娩前进行的 ROTEM 分析结果，仅在一名患者中观察到低凝状态。对重度子痫前期孕妇和生理性持续妊娠的 ROTEM 指标进行比较分析，没有发现统计学上的显着差异。
结论。主要筛查试验（EXTEM和INTEM）的ROTEM方法在重度先兆子痫出血并发症的风险评估中没有诊断意义.
作者简介
Ilya Peretyatko
The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
编辑信件的主要联系方式.
Email: doc.pere@yandex.ru
MD
俄罗斯联邦, 3 Mendeleevskaya line, Saint Petersburg, 199034Elena Mozgovaya
The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott; Saint Petersburg State University
Email: elmozg@mail.ru
ORCID iD: 0000-0002-6460-6816
SPIN 代码: 5622-5674
MD, PhD, DSci (Medicine)
俄罗斯联邦, 3 Mendeleevskaya line, Saint Petersburg, 199034; Saint Petersburg参考
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