中国实用外科杂志 ›› 2012, Vol. 32 ›› Issue (11): 897-900.
• 专题笔谈 • 上一篇 下一篇
杨 镇
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摘要:
普通外科病人凝血功能障碍主要有高凝状态、血栓栓塞和低凝状态、止血障碍。可通过常规实验室检查对其进行检测,包括活化部分凝血活酶时间(APTT)、凝血酶原时间 (PT)、凝血酶时间(TT) 、纤维蛋白原(FIG)以及血小板(PLT)。血栓弹力图可以连续全程监测止血功能。中、重度危险的病人推荐采取药物或器械性措施,预防静脉血栓栓塞。对于出血病人, 应根据床边、即时、快速试验结果和合理指征计算输入量,有针对性地输注浓缩凝血因子和新鲜冷冻血浆等血液制品。
关键词: 凝血功能障碍, 血栓形成, 凝血因子
Abstract:
Diagnosis and treatment of coagulation disorders for general surgical patients YANG Zhen. Department of Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan430030, China Abstract Coagulation disorders of general surgical patients are characterized by hypercoagulation state with thrombophilia and hemostatic defect with risk of bleeding. Coagulation disorders can be usually documented by routine laboratory examination such as APTT, PT, TT, FIG and PLT. Thromboelastography can provide continuous observation and tracing of hemostatic function. Moderate and high risk patients were recommended to use drug or mechanical thromboprophylaxis. According to the POC (point of care) and a rational indication, calculated, goal-directed use of coagulation factor concentrates and FFP should be performed in bleeding patients.
Key words: coagulation disorders, thrombosis, coagulation factor
杨 镇. 普通外科病人凝血功能障碍的诊治[J]. 中国实用外科杂志, 2012, 32(11): 897-900.
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