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替代疗法对重症患者凝血和血小板功能的影响:一项前性观察性研究
Hyunjae Im1,2, Jaehoon Jeong3, Seung-Young Oh2
1Department of Anesthesiology and Pain Medicine, Uijeongbu Eulji Medical Center, Eulji University College of Medicine, Gyeonggi-do, Korea.
间歇性血液透析 (iHD) 在重症患者中延长了凝血时间,与连续脏替代疗法 (CRRT) 不同. 血小板功能仍然不受任何一种置换治疗方式的影响.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临界护理医学 临界护理医学
- 血液学 血液学 血液学
背景情况:
- 置换疗法 (RRT) 对重症患者的凝血和血小板功能产生影响.
- 间歇性血液透析 (iHD) 和连续脏替代疗法 (CRRT) 对凝血的机制和差异尚不清楚.
研究的目的:
- 研究和比较iHD和CRRT对重症患者凝血和血小板功能的影响.
主要方法:
- 接受RRT的患者被分为iHD和CRRT组.
- 在RRT之前和之后收集了血液样本.
- 进行了旋转血小板造血仪 (ROTEM),血小板聚合计和常规凝血测试.
主要成果:
- 外在激活的ROTEM (EXTEM) 凝血时间 (CT) 在iHD后显著延长,但CRRT没有.
- 在iHD和CRRT后,血小板聚合保持不变.
- 与CRRT组相比,iHD组的EXTEMCT变化明显大于iHD组.
结论:
- iHD显著延长了EXTEM CT,表明对凝血的影响,而CRRT没有.
- 在这个患者队列中,无论是iHD还是CRRT都没有明显影响血小板功能.
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