在新型冠狀病毒感控背景下心血管急危重癥ECMO使用的中國專家共識中指出，對危重NCP患者ECMO的使用過程中，無論出血還是血栓并發癥，均需要密切監測凝血指標，主要包括ACT、APTT、D-dimer及血栓彈力圖［9］。TEG能夠全面評估患者凝血狀態，輔助診斷NCP患者凝血異常。 參考文獻：[1] Schouten M，Wiersinga WJ，Levi M，et al． Inflammation，endothelium，and coagulation in sepsis［J］． J Leukoc Biol，2008，83( 3) : 536-545．[2] Tang H，Ivanciu L，Popescu N，et al． Sepsis-induced coagulation in the baboon lung is associated with decreased tissue factor pathway inhibitor［J］． Am J Pathol，2007，171( 3) : 1066-1077．[3] Moriguchi S，Abe M，Kimura M，et al． The Diagnosis of Legionella pneumophila Serogroup 5 Bacteremic Pneumonia during Severe Neutropenia Using Loop-mediated Isothermal Amplification ［J］． Intern Med，2018，57( 7) : 1045-1048.[4] Waterer GW，Rello J，Wunderink RG． Management of community-acquired pneumonia in adults［J］． Am J Respir Crit Care Med，2011，183( 2) : 157-164．[5] 蔡青云，楊留生，張賀川. 重癥肺炎患者血清CHE、TEG 的變化及與病情和預后的關系［J］． Experimental and Laboratory Medicine, 2019, 37(3): 480-482．[6] 馬斌，封凱旋 ，凌杰兵． 重癥肺炎合并膿毒癥患者血栓彈力圖與凝血指標及炎癥相關因子觀察［J］． JOURNAL OF HARBIN MEDICAL UNIVERSITY，2018，52(6) : 573-576．[7] Dai Y, Lee A, Critchley LA, White PF. Does thromboelastography predict postoperative thromboembolic events? A systematic review of the literature. Anesth Analg 2009;108:734 –42[8] 2014 The Extracorporeal Life Support Organization (ELSO), Ann Arbor, MI, US[9]
