Ihe isii ga-emetụta nsonaazụ ule coagulation


Onye edemede: Onye nọchiri   

1. Àgwà ibi ndụ

Nri (dị ka imeju anụ ụlọ), ise siga, ịṅụ mmanya, wdg ga-emetụtakwa nchọpụta ahụ;

2. Mmetụta ọgwụ ọjọọ

(1) Warfarin: na-emetụtakarị ụkpụrụ PT na INR;
(2) Heparin: Ọ na-emetụtakarị APTT, nke nwere ike ịgbatị site na 1.5 ruo 2.5 ugboro (na ndị ọrịa na-agwọ ọrịa na-agwọ ọrịa na-agwọ ọrịa, gbalịa ịnakọta ọbara mgbe a na-ebelata mkpokọta ọgwụ ma ọ bụ ọgwụ ahụ gafere ọkara ndụ ya);
(3) Ọgwụ nje: Iji ọtụtụ ọgwụ nje eme ihe nwere ike ime ka PT na APTT dị ogologo.A kọwapụtara na mgbe ọdịnaya penicillin ruru 20,000 u/ML ọbara, PT na APTT nwere ike ịgbatị ihe karịrị ugboro 1, uru INR nwekwara ike ịgbatị karịa ugboro 1 (Ọnọdụ nke coagulation na-adịghị mma na-ebute site na intravenous. A na-akọ nodoperazone-sulbactam)
(4) ọgwụ thrombolytic;
(5) Ọgwụ emulsion abụba a na-ebubata nwere ike igbochi nsonaazụ ule, yana centrifugation dị elu nwere ike iji belata nnyonye anya n'ihe gbasara ọbara lipid siri ike;
(6) Ọgwụ dị ka aspirin, dipyridamole na ticlopidine nwere ike igbochi nchịkọta platelet;

3. Ihe na-achịkọta ọbara:

(1) Oke sodium citrate anticoagulant na ọbara na-abụkarị 1:9, a na-agwakọtakwa ya nke ọma.A kọwo na akwụkwọ akụkọ na mmụba ma ọ bụ mbelata nke mkpokọta ọgwụ mgbochi nwere mmetụta na nchọpụta nke ọrụ coagulation.Mgbe olu ọbara na-abawanye site na 0,5 ml, enwere ike belata oge mkpụkọ;mgbe olu ọbara na-ebelata site na 0,5 ml, enwere ike ịgbatị oge clotting;
(2) Kụrụ ntu n'isi iji gbochie mmebi anụ ahụ na ngwakọta nke ihe coagulation exogenous;
(3) Oge cuff ekwesịghị gafere 1 min.Ọ bụrụ na a na-agbanye cuff ahụ nke ọma ma ọ bụ oge dị ogologo, a ga-ahapụ factor VIII na tissue plasmin source activator (t-pA) n'ihi ligation, na ntụtụ ọbara ga-adịkwa ike.Ọ bụkwa mmebi nke mkpụrụ ndụ ọbara na-eme ka usoro coagulation rụọ ọrụ.

4. Mmetụta oge na ọnọdụ okpomọkụ nke ntinye ihe atụ:

(1) Ihe ndị na-akpata coagulation Ⅷ na Ⅴ anaghị akwụsi ike.Ka oge nchekwa na-abawanye, okpomọkụ nchekwa na-abawanye, na ọrụ coagulation ji nwayọọ nwayọọ na-apụ n'anya.Ya mere, ekwesịrị iziga ihe nrịbama ọbara coagulation ọbara maka nyocha n'ime awa 1 mgbe nchịkọta, na nyocha ahụ kwesịrị imecha n'ime awa 2 iji zere ịkpata PT., APTT ịgbatị oge.(2) Maka ihe atụ nke enweghị ike ịchọta n'oge, a ga-ekewapụ plasma ma chekwaa n'okpuru mkpuchi ma tinye ya na 2 ℃ ~ 8 ℃.

5. Ọkpụkpụ hemolysis na nke siri ike na ụdị lipidemia

Ihe nlele hemolyzed nwere ọrụ coagulation dị ka platelet factor III, nke nwere ike belata oge TT, PT na APTT nke plasma hemolyzed ma belata ọdịnaya nke FIB.

6. Ndị ọzọ

Hypothermia, acidosis, na hypocalcemia nwere ike ime ka thrombin na coagulation ihe na-adịghị arụ ọrụ.