Video: Ntawm cov platelets twg yuav tsum Lovenox tuav?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Xyoo 2011, Memorial Sloan Kettering Cancer Center (MSKCC) tau ua raws cov lus qhia hauv qab no hauv qhov teeb tsa no: tswj hwm koob tshuaj tag nrho enoxaparin rau a platelet suav > 50,000,/mcL, ib nrab koob tshuaj enoxaparin rau a platelet suav ntawm 25,000–50,000/mcL, thiab tuav anticoagulation rau ib platelet suav <25,000/mcL.
Hauv qhov no, koj puas tuav Lovenox rau cov platelets qis?
Yog tias lub raum ua haujlwm tau cuam tshuam, tshem tawm ntawm enoxaparin yuav raug ncua, thiab kev pheej hmoo los ntshav yuav nce ntxiv. 3 • Yog platelet suav yog <50x109/L, enoxaparin yog contraindicated3 • Yog tias muaj qhov txo qis ntawm 30-50% los ntawm lub hauv paus thaum kho, enoxaparin yuav tsum raug txiav tawm tam sim thiab HIT txiav txim siab.
Kuj Paub, Lovenox puas cuam tshuam rau platelet suav? Thrombocytopenia ua tau tshwm sim nrog kev tswj hwm ntawm Lovenox . Qib nruab nrab thrombocytopenia ( platelet suav ntawm 100, 000/mm3 thiab 50, 000/mm3) tshwm sim ntawm tus nqi ntawm 1.3% hauv cov neeg mob muab Lovenox , 1.2% hauv cov neeg mob muab tshuaj heparin, thiab 0.7% hauv cov neeg mob muab cov placebo hauv kev sim tshuaj.
Thiaj li, ntawm cov platelets twg koj tuav heparin?
Heparin -thiab thrombocytopenia (HIT) yog ib qho kev tiv thaiv kab mob tsis haum xeeb los ntawm kev tsim cov tshuaj tiv thaiv kab mob rau platelet factor 4 (PF4) thiab heparin tshuaj . Lub thrombocytopenia feem ntau yog nruab nrab, nrog rau qhov nruab nrab platelet suav nadir ntawm kwv yees li 50 txog 60 x 10 (9) platelets /L os.
Kuv puas yuav tsum tau muab heparin Yog tias cov platelets qis?
Thrombocytopenia tau cuam tshuam nrog kev siv tshuaj tua kab mob heparin tshuaj , tab sis cov nyhuv ntawm qis - koob tshuaj, subcutaneously tswj heparin tshuaj rau ntawm platelet suav tsis paub. Peb xaus qhov kev ntsuas niaj hnub ntawm platelet suav yog tsis tsim nyog thaum qis - koob heparin tshuaj tau siv hauv cov neeg mob no.
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