濡婂鏈熷濂宠娴嗘椿鍖栭儴鍒嗗嚌琛�娲婚叾鏃堕棿娴嬪畾缁撴灉鍒?
鏋?/p>
nbsp;nbsp;
銆愭憳
nbsp;
瑕併�?/p>
nbsp;
鐩殑
nbsp;nbsp;
鎺㈣濡婂鏈熷濂崇殑琛�
娴嗘椿鍖栭儴鍒嗗嚌琛�娲婚叾鏃堕棿鐨勬敼鍙樺鍒嗗ī鐨勫奖鍝嶃�?/p>
nbsp;
鏂规硶
nbsp;nbsp;
鐢?/p>
ACL100
鍏ㄨ嚜鍔ㄨ鍑濅华瀵?/p>
132
渚嬪瓡
14
锝?/p>
38
鍛ㄧ殑瀛曞杩涜琛�娴嗘椿鍖栭儴鍒嗗嚌琛�娲婚叾
鏃堕棿锛?/p>
APTT
锛夌殑娴嬪畾骞跺垎鏋愮粨鏋溿�?/p>
nbsp;
缁撴灉
nbsp;nbsp;132
閮?/p>
宀氾紝琚?/p>
楠?/p>
銆婃樊娴峰尰鑽�?/p>
2005
骞?/p>
10
鏈?/p>
绗?/p>
23
鍗?/p>
绗?/p>
5
鏈?/p>
銆愭憳
瑕併�?/p>
鐩殑
鎺㈣濡婂鏈熷濂崇殑琛�娴嗘椿鍖栭儴鍒嗗嚌琛�娲婚叾鏃堕棿
鐨勬敼鍙樺鍒嗗ī鐨勫奖鍝嶃�?/p>
鏂规硶
鐢?/p>
ACL100
鍏ㄨ嚜鍔ㄨ鍑濅华瀵?/p>
132
渚嬪瓡
14
锝?/p>
38
鍛?/p>
鐨勫瓡濡囪繘琛岃娴嗘椿鍖栭儴鍒嗗嚌琛�娲婚叾鏃堕棿锛?/p>
APTT
锛夌殑娴嬪畾骞跺垎鏋愮粨鏋溿�?/p>
缁?
鏋?/p>
132
渚嬪瓡濡囩殑
APTT
缁撴灉涓庡鐓х粍姣旇緝锛屽瓡濡囩殑
APTT
鍊艰緝姝ｅ父瀵圭収缁勬槑鏄?/p>
缂╃煭锛?/p>
P<0.01
锛夛紝鍏朵腑浣庝簬姝ｅ父鑼冨洿涓嬮檺鐨勫叡
59
渚嬶紝鍗犳�讳緥鏁扮殑
44.7%
銆?/p>
缁?/p>
璁?/p>
濡囧コ鍦ㄥ濞犳湡闂寸敱浜庣敓鐞嗗彉鍖栵紝鍏惰娑插浜庝竴绉嶁�滈珮鍑濈姸鎬佲�濓紝鍥犳鐩戞祴
APTT
瀵归闃茬敓浜ц繃绋嬩腑
DIC
鐨勫彂鐢熷叿鏈夐噸瑕佹剰涔夈�?/p>
銆愬叧閿瘝銆?/p>
琛�娴嗘椿鍖栭儴鍒嗗嚌琛�娲婚叾鏃堕棿
;
濡婂
;
瀹為獙瀹ゆ妧鏈?/p>
鍜屾柟娉?/p>
琛�娴嗘椿鍖栭儴鍒嗗嚌琛�娲婚叾鏃堕棿锛?/p>
APTT
锛夋祴瀹氭槸鍙嶆槧鍐呮簮鎬у嚌琛�绯?/p>
缁熺殑杩囩瓫璇曢獙锛?/p>
1
锛?/p>
銆傜敱浜庡瓡濡囧湪濡婂杩囩▼涓绉嶅嚌琛�鍥犲瓙鍚噺澧炲姞鍙婄敓鐞嗘�?/p>
鈥滈珮鍑濈姸鎬佲�濓蓟
2
锛?/p>
锛屼骇濡囧湪鍒嗗ī杩囩▼涓紝鏋佹槗閲婃斁缁勭粐鍥犲瓙锛屾縺娲诲嚌琛�閫?/p>
寰勶紝寮曡捣鍑濊闅滅锛岃鍙?/p>
DIC
锛屼弗閲嶅▉鑳佸瓡浜у鐨勭敓鍛藉畨鍏ㄣ�傜瑪鑰呭
132
渚嬪瓡
濡囩殑琛�娴嗘椿鍖栭儴鍒嗗嚌琛�娲婚叾鏃堕棿杩涜娴嬪畾骞跺垎鏋愶紝鍏蜂綋缁撴灉濡備笅銆?/p>
1
瀵硅薄涓庢柟娉?/p>
1.1
瀵硅薄
瀛曞缁?/p>
:
锛?/p>
2005
骞?/p>
1
鏈堬綖
2005
骞?/p>
3
鏈堥棬璇婂瓡濡囷級
瀛?/p>
14
锝?/p>
38
鍛ㄥ瓡濡?/p>
132
渚嬶紙瑙傚療瀵硅薄浠ュ線鏃犲嚭琛�鍙叉垨琛�鏍撴�х柧鐥呭彶銆佽繎鏈熸棤鏈嶆
鍑濊鑽彶锛夛紝骞撮緞
20
锝?/p>
42
宀侊紝骞冲潎骞撮緞
27.4
宀?/p>
;
姝ｅ父瀵圭収缁?/p>
:
鍋ュ悍涓村簥璇婃柇涓?/p>
闈炲瓡鐘舵�佺殑鑲查緞濡囧コ
20
渚嬶紝骞撮緞
20
锝?/p>
38
宀侊紝骞冲潎骞撮緞
26.8
宀併�?/p>
1.2
鏂规硶
璇曞墏涓庝华鍣?/p>
APTT
璇曞墏鎵?
鍙?/p>
:NO448377;0.025mol/L;
姘寲閽欐憾娑叉壒鍙?/p>
:NO448377;
鍙傛瘮娑叉壒鍙?/p>
:NO347689
锛?/p>
璐嚜缇庡浗璐濆厠鏇煎叕鍙?/p>
;
浠櫒涓?/p>
ACL100
鍏ㄨ嚜鍔ㄨ鍑濅华锛堢編鍥戒骇锛夈�傛搷浣滄柟娉?/p>
:
鎵�鏈?/p>
妫�鏌ュ璞″潎浜庢竻鏅ㄧ┖鑵规娊鍙栭潤鑴夎
1.8ml
浜庡惈
0.2ml0.109mol/L
鏌犳閰搁挔鎶楀嚌
绠′腑锛岀珛鍗虫贩鍖�銆?/p>
3000r/min
绂诲績
10min
锛岃娴嗘棤鑴傝銆佹憾琛�鍙婇粍鐤哥幇璞★紝鍙栬
娴嗗湪甯告俯涓?/p>
2h
鍐呬簬
ACL100
鍏ㄨ嚜鍔ㄨ鍑濅华涓婃娴嬭娴嗘椿鍖栭儴鍒嗗嚌琛�娲婚叾鏃堕棿
锛?/p>
APTT
锛夛紙涓ユ牸鎸夈�?/p>
ACL100
鍏ㄨ嚜鍔ㄨ鍑濅华浣跨敤鎵嬪唽銆嬫搷浣溿�?/p>
1.3
缁熻瀛︽柟娉?/p>
鏁版嵁浠ュ潎鏁奥辨爣鍑嗗樊锛坸 卤s锛夎〃绀猴紝涓?/p>
缁勯棿姣旇緝閲囩敤
t
妫�楠屻�?/p>
2
缁撴灉
2.1 132
渚嬪瓡濡?/p>
APTT
鍒嗘瀽缁撴灉
瑙佽〃
1
銆?/p>
琛?/p>
1
132
鍚?/p>
20
锝?/p>
42
宀佸濞犳湡濡囧コ
APTT
娴嬪畾缁撴灉鍒嗘瀽
APTT
鍊?/p>
渚嬫暟
鏋勬垚姣旓紙
%
锛夋甯歌寖鍥?/p>
71 53.8
浣庝簬姝ｅ父
59 44.7
楂樹簬姝ｅ父
2 1.5
鍚?/p>
璁?/p>
132 100.0
2.2
涓ょ粍
APTT
姣旇緝
瀛曞缁勪负锛?8.49卤3.37锛?/p>
s
锛屽鐓х粍涓?/p>
锛?2.05卤3.28锛?/p>
s
锛屼袱缁勭粨鏋滃樊寮傛湁闈炲父鏄捐憲鎬э紙
t=4.40
锛?/p>
P<0.01
锛夈�傚瓡濡囩粍