Investigation of hemostasis by thromboelastography in the patient with liver cirrhosis (Clinical case)
The aim of the publication. The control of hemostasis is important investigation in clinical practice. The differential diagnosis between surgical and coagulopathic nature of bleeding after the invasive intervention helps to choose optimal algorithm of patient management. Presented clinical case ill...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Gastro LLC
2011-12-01
|
| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| Subjects: | |
| Online Access: | https://www.gastro-j.ru/jour/article/view/1481 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823860213776646144 |
|---|---|
| author | Ye. L. Bulanova A. Yu. Bulanov D. S. Gatsolayeva |
| author_facet | Ye. L. Bulanova A. Yu. Bulanov D. S. Gatsolayeva |
| author_sort | Ye. L. Bulanova |
| collection | DOAJ |
| description | The aim of the publication. The control of hemostasis is important investigation in clinical practice. The differential diagnosis between surgical and coagulopathic nature of bleeding after the invasive intervention helps to choose optimal algorithm of patient management. Presented clinical case illustrates approach to investigation and treatment of such patients.Original positions. Patient K., male 54 years was hospitalized to the clinic for decompensated liver cirrhosis of toxic and viral etiology. Due to high severity of patient’s state he was directed to intensive care unit. Intravenous infusion therapy required installation of central venous catheter, that was complicated by catheter bleeding. Application of thromboelastography helped to differentiate disorder of systemic hemostasis from mechanical damage of blood vessels at catheterization. Coagulopathic nature of complication has been confirmed. Dynamic control of thromboelastography allowed to estimate efficacy of transfusion therapy and to plan ways of its correction.Conclusion. Estimating the submitted clinical case, it is possible to conclude on necessity of thromboelastography in patients with bleeding, which can develop both due to disorder of hemostasis (at patients with failure of protein-synthetic liver function), and due to invasive intervention. Data of thromboelastography help to adjust hemostatic treatment adequately and to avoid additional tests, and, probably, surgical interventions. |
| format | Article |
| id | doaj-art-92dddc2c9fe24306ade003a101c5c788 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2011-12-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-92dddc2c9fe24306ade003a101c5c7882025-02-10T16:14:31ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732011-12-0121682851005Investigation of hemostasis by thromboelastography in the patient with liver cirrhosis (Clinical case)Ye. L. Bulanova0A. Yu. Bulanov1D. S. Gatsolayeva2ГБОУ «Первый Московский государственный медицинский университет им. И.М. Сеченова»ФГБУ «Гематологический научный центр Минздравсоцразвития РФ»ГБОУ «Первый Московский государственный медицинский университет им. И.М. Сеченова»The aim of the publication. The control of hemostasis is important investigation in clinical practice. The differential diagnosis between surgical and coagulopathic nature of bleeding after the invasive intervention helps to choose optimal algorithm of patient management. Presented clinical case illustrates approach to investigation and treatment of such patients.Original positions. Patient K., male 54 years was hospitalized to the clinic for decompensated liver cirrhosis of toxic and viral etiology. Due to high severity of patient’s state he was directed to intensive care unit. Intravenous infusion therapy required installation of central venous catheter, that was complicated by catheter bleeding. Application of thromboelastography helped to differentiate disorder of systemic hemostasis from mechanical damage of blood vessels at catheterization. Coagulopathic nature of complication has been confirmed. Dynamic control of thromboelastography allowed to estimate efficacy of transfusion therapy and to plan ways of its correction.Conclusion. Estimating the submitted clinical case, it is possible to conclude on necessity of thromboelastography in patients with bleeding, which can develop both due to disorder of hemostasis (at patients with failure of protein-synthetic liver function), and due to invasive intervention. Data of thromboelastography help to adjust hemostatic treatment adequately and to avoid additional tests, and, probably, surgical interventions.https://www.gastro-j.ru/jour/article/view/1481liver cirrhosisthromboelastographyhemostasisbleeding |
| spellingShingle | Ye. L. Bulanova A. Yu. Bulanov D. S. Gatsolayeva Investigation of hemostasis by thromboelastography in the patient with liver cirrhosis (Clinical case) Российский журнал гастроэнтерологии, гепатологии, колопроктологии liver cirrhosis thromboelastography hemostasis bleeding |
| title | Investigation of hemostasis by thromboelastography in the patient with liver cirrhosis (Clinical case) |
| title_full | Investigation of hemostasis by thromboelastography in the patient with liver cirrhosis (Clinical case) |
| title_fullStr | Investigation of hemostasis by thromboelastography in the patient with liver cirrhosis (Clinical case) |
| title_full_unstemmed | Investigation of hemostasis by thromboelastography in the patient with liver cirrhosis (Clinical case) |
| title_short | Investigation of hemostasis by thromboelastography in the patient with liver cirrhosis (Clinical case) |
| title_sort | investigation of hemostasis by thromboelastography in the patient with liver cirrhosis clinical case |
| topic | liver cirrhosis thromboelastography hemostasis bleeding |
| url | https://www.gastro-j.ru/jour/article/view/1481 |
| work_keys_str_mv | AT yelbulanova investigationofhemostasisbythromboelastographyinthepatientwithlivercirrhosisclinicalcase AT ayubulanov investigationofhemostasisbythromboelastographyinthepatientwithlivercirrhosisclinicalcase AT dsgatsolayeva investigationofhemostasisbythromboelastographyinthepatientwithlivercirrhosisclinicalcase |