Diagnostic Index Of Blood Coagulation Function


Sau: Succeeder   

Ntshav coagulation diagnostic yog niaj hnub muab los ntawm kws kho mob.Cov neeg mob uas muaj qee yam mob lossis cov neeg uas noj tshuaj anticoagulant yuav tsum tau saib xyuas cov ntshav coagulation.Tab sis ntau tus lej txhais li cas?Cov ntsuas twg yuav tsum tau saib xyuas hauv tsev kho mob rau cov kab mob sib txawv?

Coagulation function test indexes xws li prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT), fibrinogen (FIB), Clotting time (CT) thiab International normalized ratio (INR), thiab lwm yam. xaiv los ua ib pob, uas yog hu ua coagulation X khoom.Vim yog cov kev tshawb nrhiav sib txawv uas siv los ntawm cov tsev kho mob sib txawv, cov ntaub ntawv siv kuj sib txawv.

PT-prothrombin lub sijhawm

PT hais txog kev ntxiv cov ntaub so ntswg (TF lossis cov ntaub so ntswg thromboplastin) thiab Ca2 + rau cov ntshav kom pib lub extrinsic coagulation system thiab saib xyuas lub sijhawm coagulation ntawm cov ntshav.PT yog ib qho ntawm cov kev ntsuam xyuas feem ntau siv hauv kev kho mob los ntsuas kev ua haujlwm ntawm extrinsic coagulation txoj hauv kev.Tus nqi siv ib txwm yog 10 mus rau 14 vib nas this.

APTT - qhib ib nrab thromboplastin lub sijhawm

APTT yog ntxiv XII yam activator, Ca2+, phospholipid rau plasma kom pib lub plasma endogenous coagulation txoj kev, thiab soj ntsuam lub sij hawm plasma coagulation.APTT kuj yog ib qho ntawm cov kev ntsuam xyuas feem ntau siv hauv kev kho mob los soj ntsuam kev ua haujlwm ntawm txoj hauv kev coagulation intrinsic.Tus nqi siv ib txwm yog 32 txog 43 vib nas this.

INR - International Normalized Ratio

INR yog lub zog ISI ntawm qhov piv ntawm PT ntawm tus neeg mob kuaj rau PT ntawm kev tswj ib txwm (ISI yog qhov ntsuas ntsuas thoob ntiaj teb, thiab cov reagent raug ntsuas los ntawm cov chaw tsim khoom thaum nws tawm hauv lub hoobkas).Tib lub plasma tau sim nrog cov ISI reagents sib txawv hauv cov chaw sim sib txawv, thiab cov txiaj ntsig ntawm PT muaj qhov sib txawv heev, tab sis qhov ntsuas INR qhov tseem ceeb yog tib yam, uas ua rau cov txiaj ntsig sib piv.Tus nqi siv ib txwm yog 0.9 txog 1.1.

TT-thrombin lub sijhawm

TT yog qhov sib ntxiv ntawm cov qauv uas zombin rau cov ntshav siab los txhawm rau txhawm rau txhawm rau txhawm rau ua kom zoo nkauj hauv cov ntshav.Tus nqi siv ib txwm yog 16 txog 18 vib nas this.

FIB-fibrinogen

FIB yog ntxiv ib qho nyiaj ntawm thrombin rau cov ntshav kuaj ntshav kom hloov cov fibrinogen hauv plasma rau hauv fibrin, thiab suav cov ntsiab lus ntawm fibrinogen los ntawm txoj cai turbidimetric.Tus nqi siv ib txwm yog 2 txog 4 g / L.

FDP-plasma fibrin degradation khoom

FDP yog ib lub ntsiab lus dav dav rau cov khoom degradation uas tsim tom qab fibrin los yog fibrinogen decomposed nyob rau hauv qhov kev txiav txim ntawm plasmin ua thaum lub sij hawm hyperfibrinolysis.Tus nqi siv ib txwm yog 1 txog 5 mg / L.

CT-coagulation lub sij hawm

CT yog hais txog lub sijhawm thaum cov ntshav tawm hauv cov hlab ntsha thiab coagulates hauv vitro.Nws feem ntau txiav txim siab seb puas muaj ntau yam coagulation yam nyob rau hauv txoj kev coagulation intrinsic tsis muaj, seb lawv txoj haujlwm zoo li cas, lossis seb puas muaj kev nce hauv cov tshuaj anticoagulant.