1. Kev coj ua neej nyob

Kev noj haus (xws li daim siab tsiaj), haus luam yeeb, haus dej cawv, thiab lwm yam kuj yuav cuam tshuam rau qhov kev kuaj pom;

2. Cov teebmeem ntawm tshuaj

(1) Warfarin: feem ntau cuam tshuam rau PT thiab INR tus nqi;
(2) Heparin: Nws feem ntau cuam tshuam rau APTT, uas tuaj yeem ntev li 1.5 txog 2.5 npaug (rau cov neeg mob uas tau kho nrog cov tshuaj anticoagulant, sim sau cov ntshav tom qab cov tshuaj concentration txo qis lossis cov tshuaj tau dhau nws lub neej ib nrab);
(3) Tshuaj tua kab mob: Kev siv cov tshuaj tua kab mob ntau ntau tuaj yeem ua rau lub sijhawm ntev ntawm PT thiab APTT. Nws tau raug tshaj tawm tias thaum cov ntsiab lus penicillin ncav cuag 20,000 u / ML ntshav, PT thiab APTT tuaj yeem ntev dua 1 zaug, thiab tus nqi INR kuj tuaj yeem ntev dua 1 zaug (Cov xwm txheej ntawm kev coagulation tsis zoo los ntawm cov tshuaj nodoperazone-sulbactam tau raug tshaj tawm)
(4) Cov tshuaj uas pab kom cov ntshav tsis txhob txhaws;
(5) Cov tshuaj emulsion rog uas xa tuaj txawv teb chaws tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm kev xeem, thiab kev centrifugation ceev ceev tuaj yeem siv los txo qhov cuam tshuam hauv cov ntaub ntawv ntawm cov qauv ntshav lipid hnyav;
(6) Cov tshuaj xws li aspirin, dipyridamole thiab ticlopidine tuaj yeem tiv thaiv platelet aggregation;

3. Cov yam ntxwv ntawm kev sau ntshav:

(1) Qhov piv ntawm sodium citrate anticoagulant rau cov ntshav feem ntau yog 1: 9, thiab nws tau sib xyaw zoo. Nws tau raug tshaj tawm hauv cov ntaub ntawv hais tias qhov nce lossis txo qis ntawm anticoagulant concentration muaj feem cuam tshuam rau kev kuaj pom ntawm kev ua haujlwm coagulation. Thaum cov ntshav ntim nce los ntawm 0.5 mL, lub sijhawm clotting tuaj yeem luv dua; thaum cov ntshav ntim txo los ntawm 0.5 mL, lub sijhawm clotting tuaj yeem ntev dua;
(2) Ntaus tus ntsia hlau rau ntawm lub taub hau kom tiv thaiv kev puas tsuaj ntawm cov nqaij thiab kev sib xyaw ntawm cov yam ntxwv coagulation sab nraud;
(3) Lub sijhawm ntawm lub cuff yuav tsum tsis pub tshaj 1 feeb. Yog tias lub cuff raug nias nruj dhau lossis lub sijhawm ntev dhau, factor VIII thiab cov nqaij plasmin qhov chaw ua haujlwm (t-pA) yuav raug tso tawm vim yog ligation, thiab kev txhaj ntshav yuav muaj zog dhau. Nws tseem yog qhov tawg ntawm cov qe ntshav uas ua rau lub cev coagulation ua haujlwm.

4. Lub sijhawm thiab qhov kub ntawm kev tso cov qauv:

(1) Cov yam ntxwv coagulation Ⅷ thiab Ⅴ tsis ruaj khov. Thaum lub sijhawm khaws cia nce ntxiv, qhov kub khaws cia nce ntxiv, thiab cov dej num coagulation maj mam ploj mus. Yog li ntawd, cov ntshav coagulation qauv yuav tsum raug xa mus rau kev tshuaj xyuas hauv 1 teev tom qab sau, thiab qhov kev sim yuav tsum ua tiav hauv 2 teev kom tsis txhob ua rau PT., APTT ntev. (2) Rau cov qauv uas tsis tuaj yeem pom raws sijhawm, cov plasma yuav tsum tau sib cais thiab khaws cia rau hauv qab lub hau thiab tso rau hauv lub tub yees ntawm 2 ℃ ~ 8 ℃.

5. Cov qauv ntshav tsis zoo thiab ntshav lipidemia nruab nrab/hnyav

Cov qauv ntshav uas tau tawg lawm muaj cov dej num coagulation zoo ib yam li platelet factor III, uas tuaj yeem ua rau lub sijhawm TT, PT, thiab APTT ntawm cov ntshav uas tau tawg lawm luv dua thiab txo cov ntsiab lus ntawm FIB.

6. Lwm tus

Hypothermia, acidosis, thiab hypocalcemia tuaj yeem ua rau thrombin thiab coagulation factors tsis ua haujlwm zoo.