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鞘管和血管处测定ACT值的比较及临床应用 被引量:1

Comparison and clinical application of determining ACT Value from the sheath and blood vessel
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摘要 目的:探讨在鞘管处取血测定激活凝血时间(ACT)值和在外周静脉处抽血测定ACT值的区别。方法:在经皮冠状动脉腔内成形术(PTCA)或/和支架术后未拔管的患者需测定ACT时,从鞘管取血2ml和从外周血管取血2ml分别测得ACT值,记录两种取血方法的检测结果。结果:两种方法取血测定ACT值结果无明显差异(P=0.489)。结论:当患者未拔鞘管时,如需测定ACT值,可从鞘管处取血测定ACT值,此方法可减少穿刺和或皮下出血机会,减轻患者痛苦,患者更易接受。 Objective: To discuss the difference of activated clotting time (ACT) value between collecting blood from the percutaneous introducer catheter and collecting blood from the peripheral vein. Method: When the ACT value is ordered after the patient taking percutaneous transluminal coronary angioplasty(PTCA) and/or introcoronary stenting, 2 ml blood is collected from the sheath and peripheral vein respectively, recon:ling the results. Result: There is no significant difference between these two methods of collcting blood for determining ACT value. Conclusion: Blood can be collected from the sheath when ACT value is ordred, which will reduce times of puncture and the chance of subcutaneous bleeding, relieve patient's pain, and is more acceptable.
出处 《天津护理》 2007年第6期342-342,共1页 Tianjin Journal of Nursing
关键词 激活凝血时间测定值 鞘管 血管 Activated Clotting Time Value Sheath Blood Vessel
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  • 1Marmur JD, Anand SX, Bagga RS, et al. The activated clotting time can be used to monitor the low molecular weight heparin dalteparin after intravenous administration. J Am Coll Cardiol, 2003,41:394-402.
  • 2Kereiakes DJ, Kleiman NS, Fry E, et al. Dalteparin in combination with abciximab during percutaneous coronary intervention. Am Heart J, 2001, 141:348-352.
  • 3Chew DP, Bhatt DL, Lincoff AM, et al. Defining the optimal activated clotting time during percutaneous coronary intervention: aggregate results from 6 randomized, controlled trials. Circulation, 2001,103:961-966.
  • 4胡大一,赵红,赵秀丽,李田昌,贾三庆,王雷,孔凡龙,陈步星.急性冠状动脉综合征介入治疗前应用依诺肝素有效性和安全性研究[J].中华内科杂志,2003,42(2):91-93. 被引量:29

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