Lintlha Tse Tšeletseng li Tla Ama Liphetho tsa Tlhahlobo ea Coagulation


Mongoli: Mohlahlami   

1. Mekhoa ea ho phela

Lijo (joaloka sebete sa phoofolo), ho tsuba, ho noa, joalo-joalo li tla ama ho lemoha;

2. Liphello tsa Lithethefatsi

(1) Warfarin: haholo-holo e ama litekanyetso tsa PT le INR;
(2) Heparin: E ama haholo-holo APTT, e ka lelefatsang ka makhetlo a 1.5 ho isa ho 2.5 (ho bakuli ba tšoaroang ka lithethefatsi tsa anticoagulant, leka ho bokella mali ka mor'a hore khatello ea meriana e fokotsehe kapa moriana o fetile halofo ea bophelo);
(3) Lithibela-mafu: Tšebeliso ea tekanyo e kholo ea lithibela-mafu e ka baka nako e telele ea PT le APTT.Ho tlalehiloe hore ha litaba tsa penicillin li fihla maling a 20,000 u / ML, PT le APTT li ka eketsoa ka makhetlo a fetang 1, mme boleng ba INR le bona bo ka eketsoa ka makhetlo a fetang 1. nodoperazone-sulbactam e tlalehiloe)
(4) Lithethefatsi tsa Thrombolytic;
(5) Lithethefatsi tsa emulsion tse tsoang linaheng tse ling li ka kena-kenana le liphello tsa liteko, 'me centrifugation e phahameng ka potlako e ka sebelisoa ho fokotsa ho kena-kenana le li-sampuli tse matla tsa mali a lipid;
(6) Lithethefatsi tse kang aspirin, dipyridamole le ticlopidine li ka thibela platelet aggregation;

3. Lintlha tsa pokello ea mali:

(1) Karolelano ea sodium citrate anticoagulant ho mali hangata ke 1:9, 'me e tsoakoa hantle.Ho 'nile ha tlalehoa libukeng hore ho eketseha kapa ho fokotseha ha mahloriso a anticoagulant ho na le phello ea ho lemoha mosebetsi oa coagulation.Ha palo ea mali e eketseha ka 0.5 mL, nako ea ho koala e ka khutsufatsoa;ha molumo oa mali o fokotseha ka 0.5 mL, nako ea ho koala e ka ba nako e telele;
(2) Otla sepekere hloohong ho thibela tšenyo ea linama le ho tsoakana ha lintho tse tsoang kantle ho coagulation;
(3) Nako ea cuff ha ea lokela ho feta 1 min.Haeba cuff e hatelloa ka thata haholo kapa nako e telele haholo, factor VIII le tissue plasmin source activator (t-pA) li tla lokolloa ka lebaka la ligation, 'me ente ea mali e tla ba matla haholo.Hape ke ho senyeha ha lisele tsa mali ho etsang hore tsamaiso ea coagulation e sebetse.

4. Liphello tsa nako le mocheso oa ho bea mohlala:

(1) Lintho tsa coagulation Ⅷ le Ⅴ ha li tsitsa.Ha nako ea polokelo e ntse e eketseha, mocheso oa polokelo oa eketseha, 'me mosebetsi oa coagulation o nyamela butle-butle.Ka hona, mohlala oa coagulation oa mali o lokela ho romeloa ho hlahlojoa nakong ea hora ea 1 ka mor'a ho bokella, 'me tlhahlobo e lokela ho phethoa ka hare ho lihora tsa 2 ho qoba ho baka PT., ho lelefatsa APTT.(2) Bakeng sa mehlala e ke keng ea bonoa ka nako, plasma e lokela ho aroloa ebe e bolokoa ka tlas'a sekoahelo ebe e kenngoa ka sehatsetsing ho 2 ℃ ~ 8 ℃.

5. Mehlala e itekanetseng / e matla ea hemolysis le lipidemia

Li-sampuli tsa hemolyzed li na le ts'ebetso ea coagulation e ts'oanang le platelet factor III, e ka khutsufatsang nako ea TT, PT, le APTT ea plasma ea hemolyzed le ho fokotsa litaba tsa FIB.

6. Ba bang

Hypothermia, acidosis, le hypocalcemia li ka etsa hore thrombin le lintlha tsa coagulation li se ke tsa sebetsa.