ʻEono mau mea e pili ana i nā hopena hoʻāʻo coagulation


Mea kākau: Hope   

1. Nā hana maʻamau

ʻO ka meaʻai (e like me ka ate holoholona), ka puhi ʻana, ka inu ʻana, a me nā mea ʻē aʻe e pili pū i ka ʻike;

2. Nā hopena lāʻau

(1) Warfarin: pili nui i nā waiwai PT a me INR;
(2) Heparin: Hoʻopili nui ia i ka APTT, hiki ke hoʻolōʻihi ʻia e 1.5 a 2.5 mau manawa (i nā mea maʻi i mālama ʻia me nā lāʻau anticoagulant, e hoʻāʻo e hōʻiliʻili i ke koko ma hope o ka hoʻemi ʻana o ka lāʻau lapaʻau a i ʻole ka lāʻau i hala i kona hapalua ola);
(3) Antibiotics: ʻO ka hoʻohana ʻana i ka nui o nā lāʻau antibiotic hiki ke hoʻolōʻihi i ka PT a me APTT.Ua hōʻike ʻia inā hiki i ka penicillin maʻiʻo i 20,000 u/ML koko, hiki ke hoʻolōʻihi ʻia ka PT a me APTT ma mua o 1 mau manawa, a hiki ke hoʻolōʻihi ʻia ka waiwai INR ma mua o 1 mau manawa ( Cases of abnormal coagulation induced by intravenous ua hōʻike ʻia ka nodoperazone-sulbactam)
(4) Nā lāʻau thrombolytic;
(5) Hiki i nā lāʻau lapaʻau emulsion momona i lawe ʻia ke hoʻopilikia i nā hopena hoʻāʻo, a hiki ke hoʻohana ʻia ka centrifugation kiʻekiʻe e hōʻemi i ka hoʻopili ʻana i ka hihia o nā ʻano koko lipid koʻikoʻi;
(6) Hiki i nā lāʻau lapaʻau e like me ka aspirin, dipyridamole a me ticlopidine ke kāohi i ka hōʻuluʻulu platelet;

3. Nā kumu hōʻiliʻili koko:

(1) ʻO ka ratio o ka sodium citrate anticoagulant i ke koko he 1:9 maʻamau, a hui pū ʻia.Ua hōʻike ʻia i loko o ka moʻolelo e pili ana ka hoʻonui a i ʻole ka emi ʻana o ka ʻike anticoagulant i ka ʻike ʻana i ka hana coagulation.Ke piʻi ka nui o ke koko i ka 0.5 mL, hiki ke hoʻopōkole ʻia ka manawa clotting;ke emi ka nui o ke koko e 0.5 mL, hiki ke hoʻolōʻihi ʻia ka manawa clotting;
(2) Paʻi i ke kui ma ke poʻo e pale i ka pōʻino o ke kino a me ka hui ʻana o nā mea coagulation exogenous;
(3) ʻAʻole pono ka manawa o ka cuff ma mua o 1 min.Inā paʻa paʻa loa ka cuff a i ʻole lōʻihi ka manawa, e hoʻokuʻu ʻia ka helu VIII a me ka tissue plasmin source activator (t-pA) ma muli o ka ligation, a ʻoi aku ka ikaika o ke kahe koko.ʻO ia hoʻi ka haʻihaʻi ʻana o nā ʻāpana koko e hoʻāla ai i ka ʻōnaehana coagulation.

4. Nā hopena o ka manawa a me ka wela o ka hoʻokomo ʻana i nā mea hoʻohālike:

(1) ʻAʻole paʻa nā kumu coagulation Ⅷ a me Ⅴ.Ke piʻi aʻe ka manawa mālama, piʻi ka mahana o ka mālama ʻana, a nalowale ka hana coagulation.No laila, pono e hoʻouna ʻia ke koko coagulation specimen no ka nānā ʻana i loko o 1 hola ma hope o ka hōʻiliʻili ʻana, a pono e hoʻopau ʻia ka hoʻāʻo i loko o 2 mau hola e pale aku ai i ka PT., hooloihi APTT.(2) No nā hiʻohiʻona hiki ʻole ke ʻike ʻia i ka manawa, pono e hoʻokaʻawale ʻia ka plasma a mālama ʻia ma lalo o kahi poʻi a hoʻopaʻa ʻia i ka 2 ℃ ~ 8 ℃.

5. Nā hōʻailona hemolysis haʻahaʻa/koʻikoʻi a me ka lipidemia

Loaʻa i nā laʻana hemolyzed ka hana coagulation e like me ka platelet factor III, hiki ke hōʻemi i ka manawa TT, PT, a me APTT o ka plasma hemolyzed a hoʻemi i ka ʻike o FIB.

6. ʻO nā mea ʻē aʻe

Hiki i ka hypothermia, acidosis, a me ka hypocalcemia ke hana i ka thrombin a me nā kumu coagulation i mea ʻole.