Abstract: Background It is difficult to control bleeding of coagulopathy induced by severe trauma. Coagulopathy is the main cause of death in the early phase of trauma. Some patients may died of refractory coagulopathy, even if they had received surgery to control bleeding. Trauma-induced coagulopathy is still one of the problems to improve the prognosis of patients with severe trauma. Objective The advantage of application of thromb-elastography(TEG) especially rapid thromb-elastography(r-TEG) test for trauma was evaluated. Content Traditional coagulation tests can not evaluate status of coagulation, fibrinolysis and platelet comprehensively and quickly during trauma, but viscoelastic haemostasis assays make up for this deficiency. Application of r-TEG in traumatic animal models and traumatic patients was confirmed which can evaluate the status of coagulation, fibrinolysis and platelet rapidly, predict transfusion needs of patients. Trend TEG has been developed by rapid TEG in traumatic medicine. The parameters can identify the acute traumatic coagulopathy as soon as possible, guide the early goal-directed coagulation therapy.
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