General hospital Celje (SBCE)
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Ugotavljanje motenj hemostaze z metodo trombelastometrije = Detection of haemostatic disorders through ThrombElastoMetry methodKrivec, ŠtefkaTrombelastometrija (TEM), uporabljena na aparatu Rotem, je funkcijska metoda, ki temelji na principu elastometričnih meritev povečevanja viskoznosti polne krvi ob dodatku aktivatorja koagulacije. Z ... njo hitro in zanesljivo ugotavljamo dinamiko nastajanja krvnega strdka v citratni polni krvi. Testi, ki jih izvajamo na aparatu Rotem, so: Extem, Intem, Fibtem, Aptem in Heptem. Klinično pomembni parametri, s katerimi ocenjujemo procese v posameznem testu, so: CT (Clotting time), CFT (Clot formation time), MCF (Maximum clot firmness) in ML (Maximum lysis). Vsak od parametrov meri določeno fazo v procesu hemostaze. Spremljamo jih na grafičnem prikazu, ki se na računalniškem ekranu izrisuje v realnem času. Izvajalec testov (v laboratoriju ali ob pacientu) mora za doseganje kakovostnih rezultatov poskrbeti za celovit sistem zagotavljanja kakovosti s sledljivo dokumentacijo. TEM ima, tako kot druge metode, omejitve, ki jih je treba upoštevati pri tolmačenju rezultatov. S pravilno interpretacijo rezultatov dobimo hiter vpogled, v katerem delu hemostaze je nastala motnja. Meritev z metodo TEM je najbolj koristna v primeru akutnih krvavitev, predvsem v perioperativnem obdobju. S hitro diferencialno diagnostiko zdravnik lažje in bolj usmerjeno terapevtsko ukrepa pri odpravi nastale motnje ter tako ne sproža nepotrebnih stroškov in tudi pacient je v manjši meri podvržen potencialno škodljivim snovem.Source: Zbornik predavanj XLV. podiplomskega tečaja kirurgije za zdravnike, 20. in 21. november 2015 (Str. 48-58)Type of material - conference contributionPublish date - 2015Language - slovenianCOBISS.SI-ID - 735907
Author
Krivec, Štefka
Topics
Hemostasis |
Pathology |
Thrombelastography |
Hemostaza |
Patologija |
Trombelastografija
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Krivec, Štefka | 24985 |
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