1. Mararamiro

Zvokudya (zvakadai sechiropa chemhuka), kusvuta, kunwa, nezvimwewo zvichakanganisawo kuonekwa;

2. Mishonga Migumisiro

(1) Warfarin: inonyanya kukanganisa PT uye INR maitiro;
(2) Heparin: Inonyanya kukanganisa APTT, iyo inogona kurebeswa ne1.5 kusvika ku2.5 nguva (muvarwere vanobatwa nemishonga inorwisa anticoagulant, edza kuunganidza ropa mushure mokunge zvinodhaka zvinodhaka zvaderedzwa kana kuti mushonga wapfuura hafu yeupenyu);
(3) Mishonga inorwisa mabhakitiriya: Kushandiswa kwemishonga yakakura yemishonga inorwisa mabhakitiriya inogona kukonzera kuwedzera kwePT uye APTT.Zvinonzi kana iyo penicillin yemukati inosvika 20,000 u/ML ropa, iyo PT uye APTT inogona kurebedzwa nekanopfuura ka1, uye kukosha kweINR kunogona zvakare kurebeswa nekanopfuura ka1 ( Nyaya dzeabnormal coagulation inokonzerwa ne intravenous. nodoperazone-sulbactam zvakataurwa)
(4) Thrombolytic zvinodhaka;
(5) Iyo inotengeswa mafuta emulsion zvinodhaka zvinogona kupindira nemigumisiro yekuedza, uye high-speed centrifugation inogona kushandiswa kuderedza kupindira munyaya yezvakanyanya lipid blood samples;
(6) Mishonga yakadai se aspirin, dipyridamole uye ticlopidine inogona kudzivisa kusanganiswa kweplatelet;

3. Zvinhu zvekuunganidza ropa:

(1) Chiyero che sodium citrate anticoagulant kuropa kazhinji 1: 9, uye inosanganiswa zvakanaka.Izvo zvave zvichishumwa mumabhuku kuti kuwedzera kana kuderera kweiyo anticoagulant concentration ine chekuita pakuona kwekuita coagulation.Apo ropa rinowedzera ne 0.5 mL, nguva yekuvhara inogona kupfupiswa;apo ropa rinoderera ne 0.5 mL, nguva yekuvhara inogona kuwedzerwa;
(2) Rova chipikiri mumusoro kudzivirira kukuvadzwa kwetishu uye kusanganiswa kwezvinhu zvekunze coagulation;
(3) Nguva yecuff haifaniri kudarika 1 min.Kana iyo cuff yakatsikirirwa zvakanyanya kana kuti nguva yakarebesa, factor VIII uye tishu plasmin source activator (t-pA) ichaburitswa nekuda kwekusungirirwa, uye jekiseni reropa richave rakanyanyisa simba.Ndiko zvakare kuparara kwemasero eropa kunoita kuti coagulation system ishande.

4. Nguva uye tembiricha mhedzisiro yekuiswa kwemuenzaniso:

(1) Coagulation zvinhu Ⅷ uye Ⅴ hazvina kugadzikana.Sezvo nguva yekuchengetedza inowedzera, kupisa kwekuchengetedza kunowedzera, uye basa rekugadzirisa zvishoma nezvishoma rinopera.Nokudaro, kuenzanisa kweropa kunofanirwa kutumirwa kunoongororwa mukati meawa 1 mushure mekuunganidza, uye muedzo unofanirwa kupedzwa mukati meawa maviri kuti usakonzera PT., APTT kuwedzera.(2) Kune zvienzaniso zvisingakwanisi kuonekwa munguva, plasma inofanira kuparadzaniswa uye kuchengetwa pasi pechivharo uye firiji pa 2 ℃ ~ 8 ℃.

5. Pakati / yakaoma hemolysis uye lipidemia specimens

Hemolyzed samples ine coagulation basa rakafanana neplatelet factor III, iyo inogona kupfupisa iyo TT, PT, uye APTT nguva yehemolyzed plasma uye kuderedza zviri muFIB.

6. Vamwe

Hypothermia, acidosis, uye hypocalcemia zvinogona kukonzera thrombin uye coagulation zvinhu kusashanda.