Izinto ezintandathu ziyakuchaphazela iziphumo zovavanyo lwe-Coagulation


Umbhali: Ophumeleleyo   

1. Imikhwa yokuphila

Ukutya (okufana nesibindi sesilwanyana), ukutshaya, ukusela, njl njl kuya kuchaphazela ukufunyanwa;

2. Iziphumo zeziyobisi

(1) I-Warfarin: ichaphazela kakhulu amaxabiso e-PT kunye ne-INR;
(2) I-Heparin: Ichaphazela kakhulu i-APTT, enokwandiswa ngamaxesha angama-1.5 ukuya kuma-2.5 (kwizigulane eziphathwa ngamachiza e-anticoagulant, zama ukuqokelela igazi emva kokuba ukuxinwa kweziyobisi kuncitshiswe okanye iyeza lidlulile isiqingatha sobomi bayo);
(3) I-Antibiotics: Ukusetyenziswa kweedosi ezinkulu ze-antibiotics kunokubangela ukwanda kwe-PT kunye ne-APTT.Kuye kwaxelwa ukuba xa umxholo we-penicillin ufikelela kwi-20,000 u / ML igazi, i-PT kunye ne-APTT inokongezwa ngaphezu kwamaxesha e-1, kwaye ixabiso le-INR lingaphinda longezwe ngaphezu kwamaxesha e-1 (Iimeko ze-coagulation engavamile eyenziwa yi-intravenous. nodoperazone-sulbactam ziye zaxelwa)
(4) Amachiza e-Thrombolytic;
(5) Izidakamizwa ze-emulsion ze-fat emulsion zingaphazamisana neziphumo zovavanyo, kunye ne-high-speed centrifugation ingasetyenziselwa ukunciphisa ukuphazamiseka kwimeko yeesampuli zegazi ze-lipid ezinzima;
(6) Iziyobisi ezifana ne-aspirin, i-dipyridamole kunye ne-ticlopidine inokuthintela ukuhlanganiswa kweplatelet;

3. Iimeko zokuqokelelwa kwegazi:

(1) Umlinganiselo we-sodium citrate anticoagulant kwigazi ngokuqhelekileyo ngu-1: 9, kwaye ixutywe kakuhle.Kuye kwaxelwa kwiincwadi ukuba ukunyuka okanye ukuncipha kwe-concentration ye-anticoagulant kunempembelelo ekufumaneni umsebenzi we-coagulation.Xa umthamo wegazi unyuka ngo-0.5 mL, ixesha lokuvala lingancitshiswa;xa umthamo wegazi uyancipha ngo-0.5 mL, ixesha lokuvala lingandiswa;
(2) Betha isikhonkwane entloko ukuthintela ukonakaliswa kwezicubu kunye nokuxubana kwezinto eziphuma ngaphandle;
(3) Ixesha le-cuff akufanele lidlule i-1 min.Ukuba i-cuff icinezelwe kakhulu okanye ixesha lide kakhulu, i-factor VIII kunye ne-activator ye-plasmin source ye-tissue (t-pA) iya kukhutshwa ngenxa ye-ligation, kwaye i-injection yegazi iya kuba namandla kakhulu.Ikwakukophuka kweeseli zegazi okusebenza inkqubo yojiko.

4. Ixesha kunye nefuthe lobushushu bokubekwa kwesampuli:

(1) Imiba ye-Coagulation Ⅷ kunye ne-Ⅴ ayizinzile.Njengoko ixesha lokugcina landa, ukushisa kokugcina kuyanda, kwaye umsebenzi we-coagulation uyanyamalala ngokuthe ngcembe.Ngoko ke, i-specimen ye-coagulation yegazi kufuneka ithunyelwe ukuze ihlolwe ngaphakathi kweyure ye-1 emva kokuqokelela, kwaye uvavanyo kufuneka lugqitywe kwiiyure ze-2 ukuphepha ukubangela i-PT., Ukwandiswa kwe-APTT.(2) Kwimizekelo engenakubonwa ngexesha, i-plasma kufuneka ihlulwe kwaye igcinwe phantsi kwesiciko kwaye ifakwe efrijini kwi-2 ℃ ~ 8 ℃.

5. Umlinganiselo ophakathi / onzima we-hemolysis kunye ne-lipidemia

Iisampuli ze-Hemolyzed zinomsebenzi we-coagulation ofana ne-platelet factor III, enokunciphisa ixesha le-TT, i-PT, kunye ne-APTT ye-plasma ye-hemolyzed kunye nokunciphisa umxholo we-FIB.

6. Abanye

I-Hypothermia, i-acidosis, kunye ne-hypocalcemia inokubangela ukuba i-thrombin kunye ne-coagulation factor ingasebenzi.