To retrospectively analyze whether goal-directed blood transfusion regimen based on standard thrombelastography (TEG) is beneficial to the treatment of abdominal trauma.

60 adult patients with abdominal trauma who were received more than 2 units of erythrocyte transfusion in 24 h after admission were divided into the conventional empirical transfusion group (control group) and the TEG-guided goal-directed transfusion group (experimental group). Indexes including the consumption of blood products in 24 h, mortality in 30 day after admission, hospital time in ICU and total hospital time were compared between the two groups, especially in patients with ISS≥16.

There was no significant difference in the general clinical data between the two groups (P<0.05). In 24 h after admission, the APTT in experimental group was significantly lower than that of the control group (P>0.05). In patient with ISS≥16, the total blood transfusion was significantly reduced in the experimental group compared with the control group (P=0.01). There was no significant difference in mortality in 30 day after admission, hospital time in ICU and total hospital time.

TEG-guided goal-directed transfusion regimencan reduce the use of blood products in patients with severe abdominal trauma and improve the coagulation function.