监测冠心病患者凝血功能的临床意义-内科学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要····························································································· （1） 英文摘要····························································································· （2） 论文题目····························································································· （3） 前言··································································································· （4） 材料与方法·························································································· （5） 结果··································································································· （7） 讨论··································································································· （11） 结论··································································································· （15） 参考文献····························································································· （16） 文献综述····························································································· （20） 参考文献····························································································· （28） 缩略语表····························································································· （33） 攻读学位期间发表文章情况····································································· （35） 个人简历····························································································· （36） 致谢 1内蒙古医科大学硕士研究生学位论 1 内蒙古医科大学硕士研究生学位论文（2015） 中文摘要 目的：本实验通过对冠心病患者监测血栓弹力图（thromboelastography，TEG）各参数 指标、纤维蛋白原（fibrinogen ，FIB）、D-二聚体（D2 Dimer,DD ）的变化，探讨冠 心病患者纤溶系统、凝血系统的改变，分析临床上不同分型的冠心病患者凝血功能，并 且对进行冠心病介入治疗的患者，利用 TEG 来监测抗血小板药物的疗效，进一步探讨 TEG 在目前介入治疗的冠心病患者中，抗血小板治疗监测中的运用价值。方法：选取 90 例 于鄂尔多斯市中心医院 2014.01—2014.12 住院拟诊冠心病患者的病例进行分析。随机 分为三组，其中急性心肌梗死组（acute myocardial infarction ，AMI）30 例；不稳 定性心绞痛（unstable angina pectoris ，UAP）30 例；冠脉造影阴性组（30 例）为 对照组。分别监测纤维蛋白原（fibrinogen ，FIB）、D-二聚体（D2 Dimer,DD ）、血 栓弹力图的 MA 值（maximum amplitude，MA,描记图最大幅度 ）、K 值（kinetics of clot