1. Maitiro ekurarama

Kudya (kwakadai sechiropa chemhuka), kusvuta, kunwa doro, nezvimwewo zvinokanganisawo kuonekwa kwechirwere ichi;

2. Mhedzisiro yeMishonga

(1) Warfarin: inonyanya kukanganisa kukosha kwePT neINR;
(2) Heparin: Inonyanya kukanganisa APTT, iyo inogona kuwedzerwa ne1.5 kusvika 2.5 nguva (muvarwere vanorapwa nemishonga inorwisa ropa, vanoedza kuunganidza ropa mushure mekunge huwandu hwemushonga hwaderera kana kuti mushonga wapfuura hafu yehupenyu hwawo);
(3) Mishonga inorwisa mabhakitiriya: Kushandiswa kwemishonga inorwisa mabhakitiriya yakawanda kunogona kukonzera kuwedzera kwenguva yePT neAPTT. Zvakataurwa kuti kana huwandu hwepenicillin hwasvika 20,000 u/ML muropa, PT neAPTT zvinogona kuwedzerwa kwenguva inopfuura ka1, uye kukosha kweINR kunogonawo kuwedzerwa kwenguva inopfuura ka1 (Nyaya dzekuvharika kweropa kusingawanzoitika kunokonzerwa ne intravenous nodoperazone-sulbactam dzakataurwa)
(4) Mishonga yeThrombolytic;
(5) Mishonga yemafuta inopinzwa munyika inogona kukanganisa mhedzisiro yebvunzo, uye centrifugation inomhanyisa inogona kushandiswa kuderedza kukanganiswa kana paine lipids dzakakomba muropa;
(6) Mishonga yakaita seaspirin, dipyridamole uye ticlopidine inogona kudzivirira kuungana kwemaplatelet;

3. Zvinhu zvinounganidza ropa:

(1) Chiyero che sodium citrate anticoagulant kuropa chinowanzova 1:9, uye chinosanganiswa zvakanaka. Zvakataurwa mumabhuku kuti kuwedzera kana kudzikira kwehuwandu hwe anticoagulant kune chekuita nekuona mashandiro ekugwamba kweropa. Kana huwandu hweropa hukawedzera ne 0.5 mL, nguva yekugwamba kweropa inogona kupfupikiswa; kana huwandu hweropa hukadzikira ne 0.5 mL, nguva yekugwamba kweropa inogona kuwedzerwa;
(2) Rova nzara mumusoro kudzivirira kukuvara kwenyama uye kusanganiswa kwezvinhu zvinodzivirira kuungana kweropa kubva kunze;
(3) Nguva yekubata tsinga haifanirwe kudarika 1 min. Kana tsinga yakamanikidzwa zvakanyanya kana kuti nguva yacho yakareba, factor VIII uye tissue plasmin source activator (t-pA) zvichaburitswa nekuda kwekusungwa, uye jekiseni reropa richava nesimba zvakanyanya. Kuputsika kwemasero eropa ndiko kunoita kuti tsinga dzeropa dzishande.

4. Nguva nekupisa zvinokonzerwa nekuiswa kwemuenzaniso:

(1) Zvinhu zvinobatanidza ropa Ⅷ naⅤ hazvina kugadzikana. Sezvo nguva yekuchengetedza ichiwedzera, tembiricha yekuchengetedza inowedzera, uye basa rekusanganisa ropa rinopera zvishoma nezvishoma. Nokudaro, sampuli yekusanganisa ropa inofanira kutumirwa kunoongororwa mukati meawa imwe mushure mekutorwa, uye bvunzo inofanira kupedzwa mukati memaawa maviri kudzivirira kukonzera kuwedzera kwePT. , APTT. (2) Kune sampuli dzisingakwanise kuonekwa nenguva, plasma inofanira kuparadzaniswa uye kuchengetwa pasi pechivharo uye kuchengetwa mufiriji pa2 ℃ ~ 8 ℃.

5. Zviyero zveropa riri pakati nepakati/rakanyanya uye lipidemia

Samples dzakabviswa ropa dzine basa rekuonda rakafanana neplatelet factor III, izvo zvinogona kupfupisa nguva yeTT, PT, uye APTT yeplasma yakabviswa ropa uye kuderedza huwandu hweFIB.

6. Zvimwe

Kupisa muviri, acidosis, uye hypocalcemia zvinogona kukonzera kuti thrombin uye coagulation factors zvisashande.