Izici Eziyisithupha Zizothinta Imiphumela Yokuhlolwa Kokujiya Kwegazi


Umbhali: Succeeder   

1. Imikhuba yokuphila

Ukudla (njengesibindi sesilwane), ukubhema, ukuphuza utshwala, njll. nakho kuzothinta ukutholwa kwaso;

2. Imiphumela Yezidakamizwa

(1) I-Warfarin: ithinta kakhulu amanani e-PT kanye ne-INR;
(2) I-Heparin: Ithinta kakhulu i-APTT, engandiswa izikhathi ezingu-1.5 kuya kwezingu-2.5 (ezigulini ezelashwa ngemithi yokuvimbela ukugabha kwegazi, zama ukuqoqa igazi ngemva kokuba ukuhlushwa kwemithi kunciphile noma umuthi usudlule ingxenye yokuphila kwawo);
(3) Ama-antibiotic: Ukusetshenziswa kwemithamo emikhulu yama-antibiotic kungabangela ukwelulwa kwe-PT ne-APTT. Kubikwe ukuthi lapho okuqukethwe yi-penicillin kufinyelela ku-20,000 u/ML yegazi, i-PT ne-APTT kungandiswa isikhathi esingaphezu kwesisodwa, kanti inani le-INR lingandiswa isikhathi esingaphezu kwesisodwa (Amacala okujiya okungajwayelekile okubangelwa yi-intravenous nodoperazone-sulbactam abikiwe)
(4) Imithi ye-Thrombolytic;
(5) Imithi yokukhipha amafutha engenisiwe ingaphazamisa imiphumela yokuhlolwa, futhi i-centrifugation esheshayo ingasetshenziswa ukunciphisa ukuphazamiseka uma kwenzeka amasampula egazi aqinile;
(6) Izidakamizwa ezifana ne-aspirin, i-dipyridamole kanye ne-ticlopidine zingavimbela ukuhlangana kwama-platelet;

3. Izinto zokuqoqwa kwegazi:

(1) Isilinganiso se-sodium citrate anticoagulant negazi ngokuvamile singu-1:9, futhi sixutshwe kahle. Kuye kwabikwa ezincwadini ukuthi ukwanda noma ukwehla kokuhlushwa kwe-anticoagulant kunomthelela ekutholakaleni komsebenzi wokujiya kwegazi. Lapho umthamo wegazi ukhuphuka ngo-0.5 mL, isikhathi sokujiya kwegazi singafinyezwa; lapho umthamo wegazi wehla ngo-0.5 mL, isikhathi sokujiya kwegazi singandiswa;
(2) Shaya uzipho ekhanda ukuze uvimbele ukulimala kwezicubu kanye nokuxubana kwezinto ezibangela ukujiya kwangaphandle;
(3) Isikhathi se-cuff akufanele sidlule umzuzu o-1. Uma i-cuff icindezelwe kakhulu noma isikhathi side kakhulu, i-factor VIII kanye ne-tissue plasmin source activator (t-pA) zizokhishwa ngenxa yokubopha, futhi umjovo wegazi uzoba namandla kakhulu. Futhi ukuwohloka kwamaseli egazi okwenza uhlelo lokujiya lusebenze.

4. Imiphumela yesikhathi kanye nezinga lokushisa lokubekwa kwesampula:

(1) Izici zokujiya Ⅷ kanye Ⅴ azizinzile. Njengoba isikhathi sokugcina sanda, izinga lokushisa lokugcina liyakhuphuka, futhi umsebenzi wokujiya uyanyamalala kancane kancane. Ngakho-ke, isampula yokujiya kwegazi kufanele ithunyelwe ukuze ihlolwe zingakapheli ihora eli-1 ngemva kokuqoqwa, futhi ukuhlolwa kufanele kuqedwe zingakapheli amahora ama-2 ukuze kugwenywe ukubangela ukwanda kwe-PT. , APTT. (2) Kumasampula angenakutholakala ngesikhathi, i-plasma kufanele ihlukaniswe futhi igcinwe ngaphansi kwesivalo bese ifakwa efrijini ku-2 ℃ ~ 8 ℃.

5. Amasampula e-hemolysis aphakathi nendawo/anzima kanye ne-lipidemia

Amasampula e-hemolyzed anomsebenzi wokujiya ofana ne-platelet factor III, okungafinyeza isikhathi se-TT, PT, kanye ne-APTT se-plasma ye-hemolyzed futhi kunciphise okuqukethwe yi-FIB.

6. Abanye

I-Hypothermia, i-acidosis, kanye ne-hypocalcemia kungabangela ukuthi i-thrombin kanye nezinto ezibangela ukujiya kwe-coagulation zingasebenzi kahle.