Gerinnungsstörung bei Zirrhose

Patienten mit terminaler Leberinsuffizienz zeigen im klassischen Labor (Quick, aPTT, Fibrinogen) pathologische Werte, was auf eine Blutungsneigung hinweist. Gemäß aktuellen Daten neigen diese Patienten eher zu Thrombosen als zu Blutungen. Viskoelastische Tests, wie ROTEM oder TEG, liefern eine dynamische Bewertung der Gerinnselbildung im Vollblut – bei der Therapie von Gerinnungsproblemen ein deutlicher Vorteil gegenüber dem Standardlabor.

Schlüsselwörter

Leberinsuffizienz - Hämostase - Blutungsmanagement - Thromboseprophylaxe - viskoelastische Testverfahren

• Literatur

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