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尖吻蝮蛇血凝酶对体外循环围术期凝血指标的影响
引用本文:陈晨,魏双江. 尖吻蝮蛇血凝酶对体外循环围术期凝血指标的影响[J]. 中国医院用药评价与分析, 2011, 0(10): 925-927
作者姓名:陈晨  魏双江
作者单位:河北联合大学附属医院;滦县人民医院;
摘    要:
目的:观察尖吻蝮蛇血凝酶对体外循环(CPB)期间凝血功能、纤溶系统活性和血小板数量及术野引流量的变化。方法:择期体外循环下心内直视术患者共120例,采用随机抽样法分为2组,J组:尖吻蝮蛇血凝酶组(n=60),T组:对照组(n=60);监测CPB切皮前(T1)﹑CPB开始后30 min(T2)﹑鱼精蛋白中和肝素后20 min(T3)﹑术后24 h(T4)的凝血酶元时间(PT)、活化部分凝血活酶时间(aPTT)﹑凝血酶时间(TT)﹑纤维蛋白原(FIB)﹑血小板(PLT)﹑D二聚体(D-dimer)。收集术后1、3、6、24 h术野引流量(mL)。结果:J组与T组PLT在T2、T3时相比较,P
关 键 词:尖吻蝮蛇血凝酶  体外循环  血液保护

Effects of Agkistrodon Acutus Hemocoagulase on Perioperative Blood Coagulation in Patients Undergoing Cardiopulmonary Bypass
CHEN Chen,WEI Shuang-jiang. Effects of Agkistrodon Acutus Hemocoagulase on Perioperative Blood Coagulation in Patients Undergoing Cardiopulmonary Bypass[J]. Evaluation and Analysis of Drug-Use in Hospital of China, 2011, 0(10): 925-927
Authors:CHEN Chen  WEI Shuang-jiang
Affiliation:CHEN Chen1*,WEI Shuang-jiang2(1.Hebei United University Affiliated Hospital,Tangshan 063000,China,2.Luanxian County People's Hospital,Tangshan 063700,China)
Abstract:
OBJECTIVE: To observe the effects of Agkistrodon acutus hemocoagulase on coagulation,fibrinolysis,number of platelets and the drainage(volume) in the operative field during cardiopulmonary bypass(CPB).METHODS: 120 patients undergoing elective open heart surgery with cardiopulmonary bypass were randomly assigned to J group(Agkistrodon acutus hemocoagulase) or T group(control),of 60 each.The prothrombin time(PT),activated partial thromboplastin enzyme activity time(aPTT),thrombin time(TT),fibrinogen(FIB),plat...
Keywords:Agkistrodon acutus hemocoagulase  Cardiopulmonary bypass  Blood conservation  
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