Cov txheej txheem:
Video: Dab tsi yog qhov ntseeg tau tshaj plaws thiab tshwj xeeb tshaj plaws rau kev kuaj mob nthuav tawm intravascular coagulation DIC?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
INTERVENTION: Kev tshuaj xyuas kev xeem rau DIC tau xaj rau cov neeg mob uas xav tau. MEASUREMENTS THIAB KEV XAIV: Prothrombin time (PT), ib nrab thromboplastin time (PTT), fibrinogen/fibrin degradation khoom (FDP), thiab fibrinogen tau siv feem ntau nquag li DIC kuaj mob.
Raws li, dab tsi yog qhov kev ntseeg tau tshaj plaws thiab tshwj xeeb tshaj plaws rau kev kuaj mob nthuav tawm intravascular coagulation DIC)?
D-dimer yog qhov zoo dua xeem rau DIC . Raws li, xeem rau D-dimer lossis FDPs yuav pab tau rau qhov sib txawv DIC los ntawm lwm yam xwm txheej uas tuaj yeem cuam tshuam nrog cov ntshav platelet tsawg thiab ntev txhaws sij hawm, xws li kab mob siab ntev. Feem ntau lub chaw soj nstuam muaj kev ua haujlwm xeem rau D-dimer.
Ib qho ntxiv, qhov txiaj ntsig lab qhia DIC li cas? Kuaj cov kev tshawb fawb pom DIC suav nrog cov ntshav platelet tsawg, nce ntawm D-dimer thiab fibrinogen ntau, thiab ncua sijhawm prothrombin lub sijhawm (PT) thiab qhib lub sijhawm thromboplastin ib nrab (aPTT).
Ib qho ntxiv, koj yuav ntsuas li cas rau kev nthuav tawm cov hlab ntshav coagulation?
Qee qhov kev sim niaj hnub uas yuav ua tau suav nrog:
- CBC (suav cov ntshav tag) - suav nrog cov platelet suav; hauv DIC, platelets feem ntau qis.
- Ntshav smears los ntawm cov tib neeg nrog DIC feem ntau qhia tias muaj pes tsawg tus platelets thiab muaj cov platelets loj thiab cov qe liab tawg (schistocytes).
Dab tsi yog lub cim pib ntawm DIC?
DIC tuaj yeem tsim sai sai dhau teev lossis hnub, lossis qeeb dua. Cov cim thiab cov tsos mob tuaj yeem suav nrog los ntshav , nqaij tawv, ntshav siab, ua tsis taus pa, lossis tsis meej pem.
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