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Control of heparinisation during cardiopulmonary bypass. Experience with the activated clotting time method.

作者信息

Kamath B S, Fozard J R

出版信息

Anaesthesia. 1980 Mar;35(3):250-6. doi: 10.1111/j.1365-2044.1980.tb05092.x.

DOI:10.1111/j.1365-2044.1980.tb05092.x
PMID:7396136
Abstract

A rational approach to the control of heparinisation during open heart surgery is advocated. Some of the possible and potential shortcomings of the time-based heparin protocols in current use are presented. The use of a recent, simple automated device 'Hemochron' to estimate the Activated Clotting Time is described and it is found to be an economical and efficient method to monitor heparinisation during cardiopulmonary bypass.

摘要

相似文献

1
Control of heparinisation during cardiopulmonary bypass. Experience with the activated clotting time method.
Anaesthesia. 1980 Mar;35(3):250-6. doi: 10.1111/j.1365-2044.1980.tb05092.x.
2
The impact of heparin concentration and activated clotting time monitoring on blood conservation. A prospective, randomized evaluation in patients undergoing cardiac operation.肝素浓度及活化凝血时间监测对血液保护的影响。一项针对心脏手术患者的前瞻性随机评估。
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Comparison of activated clotting times measured using the Hemochron Jr. Signature and Medtronic ACT Plus during cardiopulmonary bypass with acute normovolemic haemodilution.在体外循环期间采用急性等容血液稀释时,使用Hemochron Jr. Signature和美敦力ACT Plus测定激活凝血时间的比较。
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[Measurement of activated clotting time during cardiopulmonary bypass in infective endocarditis patients].
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Clinical experience with the activated clotting time for the control of heparin and protamine therapy during cardiopulmonary bypass.体外循环期间应用活化凝血时间控制肝素和鱼精蛋白治疗的临床经验。
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Protamine titration after cardiopulmonary bypass.体外循环后的鱼精蛋白滴定法。
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Activated clotting time monitoring of intraoperative heparinization: our experience and comparison of two techniques.
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Activated clotting time for control of anticoagulation during surgery.手术期间用于控制抗凝的活化凝血时间。
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Activated clotting time during cardiopulmonary bypass: is repetition necessary during open heart surgery?体外循环期间的活化凝血时间:心脏直视手术中是否需要重复测量?
Asian Cardiovasc Thorac Ann. 2004 Mar;12(1):47-52. doi: 10.1177/021849230401200112.
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Monitoring of intraoperative heparinization and blood loss following cardiopulmonary bypass surgery.体外循环心脏手术后术中肝素化及失血情况的监测。
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引用本文的文献

1
ACT Values after Neutralization Lower than Pre-heparinization ACT Leads to Lower Operative Times, Bleeding, and Post-Operative Transfusions in CABG Patients: an Observational Study.中和后活化凝血时间(ACT)值低于肝素化前的ACT值可使冠状动脉旁路移植术(CABG)患者的手术时间缩短、出血减少及术后输血减少:一项观察性研究。
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The evaluations of frequency distribution heparin resistance during coronary artery bypass graft.冠状动脉搭桥术中肝素抵抗的频率分布评估。
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3
The British Society for Haematology Guidelines on the use and monitoring of heparin 1992: second revision. BCSH Haemostasis and Thrombosis Task Force.
英国血液学学会肝素使用与监测指南1992:第二次修订版。英国血液学学会止血与血栓形成特别工作组。
J Clin Pathol. 1993 Feb;46(2):97-103. doi: 10.1136/jcp.46.2.97.
4
Anticoagulants in anaesthesia.麻醉中的抗凝剂。
Can J Anaesth. 1987 Nov;34(6):632-49. doi: 10.1007/BF03010526.