Manual de Coagulacion Sanguinea

 

]DI[E EDSGKB G_] ].D. ]G]UKHD FCIGJDUFSGF EK JDSDBUGD EK ID MDIGEDE HDB[DI EK MFDJ[IDMGFB ]DBT[GBKD Mýegj ýegjf1 f1 HB HB-? -?>>-ID IDCC-__ __D D

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4. UKMB UKMBGMD GMD EK MFD MFDJ[ID J[IDMGFB MGFB ]DB ]DBJ[GBK J[GBKD D

4. JKBKSDIGEDEK] Ifs kxä kxähk hkbks bks ek mfd mfdjui juidmg dmgýb, ýb, mfb mfbfmg fmgefs efs mfh mfhf f pru prukcd kcds s ek mfd mfdjui juidmg dmgýb ýb mfbtkhpidb ubd skrgk ek dbäigsgs ekstgbdefs d kbtrkjdr gbnfrhdmgýb dmkrmd eki pr prfm fmks ksf f ek id mf mfd dju juid idm mgýb gýb kb ki sk skrr luh uhd dbf bf.. Kstf stfs rk rksu suit itde def fs sf sfb b kxtrkhdedhkbtk ñtgiks pdrd mudiqugkr ärkd ek id hkegmgbd, yd quk kbtrkjdb ubd vgsgýb di hçegmf eki kstdef eki pdmgkbtk rkspkmtf d kstfs prfmksfs. Ids prukcds ek mfdjuidmgýb mfbtkhpidb ifs sgjugkbtks kxähkbks1 

Ugkhpf ek _rftrfhcgbd (U_)  Ugkhpf _drmgdi ek Urfhcfpidstgbd Dmtgvded (UU_@ f UU_D)  

Ugkhpf ek Mfdjuidmgýb Ugkhpf ek ]dbjrèd

Ftrfs Ftrf s kx kxäh ähkb kbks ks ek mf mfdj djui uidm dmgý gýb b sf sfb b ki Ng Ngcr crgb gbýj ýjkb kbf, f, if ifs s _r _rfe feum umtf tfs s ek ekjrdedmgýb eki Ngcrgbýjkbf (_EN), ki Dbtgmfdjuidbtk Iñpgef, id Dbtgtrfhcgbd GG GGGG y ifs ifs ks kstu tueg egfs fs mf mfhp hpik iktf tfs s ek Urfh Urfhcf cfng ngig igd. d. Ks Kstf tfs s kx kxäh ähkb kbks ks sf sfb b hä häs s kspkmèngmfs y bf sfb pdrtk ek id rutgbd ek ifs kxähkbks ek mfdjuidmgýb Ekbtrf ek ifs dbäigsgs ek rutgbd, if kxähkbks ek mfdjuidmgýb sfb ifs häs skbsg sk bsgcik ciks s d ids mfb mfbegm egmgfb gfbks ks ek kxt kxtrdm rdmmgý mgýb b ek id huk hukstr strd, d, prk prkpdr pdrdmg dmgýb ýb ek ekii pdmgkbtk y trdbspfrtk. Kstds hukstrds sk ditkrdb nämgihkbtk sg bf sk rkdigzd ki prfmksf prkdbdigtgmfs dekmudefs. Ek kstd hdbkrd, ki prfnksgfbdi kxpkrtf ek kstd kst d ärk ärkd, d, ekc ekck k skr mdpdz ek rkm rkmfbf fbfmk mkrr ub rks rksuit uitdef def ditkr ditkrdef def y ld ldmkr mkr id egnkrkbmgd sg çstk sk pfr dijubd pdtfifjèd f pfr ub krrfr prkdbdiètgmf.

3. FCAKUG^F]

 

Skmfbfmkr ubd hukstrd kb mfrrkmtds mfbegmgfbks pdrd id rkdigzdmgýb ek tçmbgmds ek mfdjuidmgýb. Skdigzdr ki dekmudef dihdmkbdhgkbtf y trdbspfrtk ek hukstrds pdrd tçmbgmds ek mfdjuidmgýb.

 

]DI[E EDSGKB G_] ].D. ]G]UKHD FCIGJDUFSGF EK JDSDBUGD EK ID MDIGEDE HDB[DI EK MFDJ[IDMGFB ]DBT[GBKD Mýegj ýegjf1 f1 HB HB-? -?>>-ID IDCC-__ __D D

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Nkm kmld ld Dmt Dmtud udig igzzdmg mgýb ýb11 Egmg Egmgkh khcr crk k /3? /3?4<

=. HDUKSGDIK] W KT[G_F] BKMK]DSGF]

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Uucf mfb sdbjrk vkbfsd mfb dbtgmfdjuidbtk mgtrdtf ek sfegf (tdpd dzui) Jrdegiid pdrd tucfs Kqugpf SU-33?3 Dbdigzdefr ek Mfdjuidmgýb. Skdmtgvfs1 _U-L], D_UU-KD, MIFS[SF EK MDIMGF ?.?3, Mfbtrfi ek mdigede bgvki 4 bfrhdi y bgvki 3 ditf ek id mdsd mfhkrmgdi Cgfhçegmd Tugmfdj. _gpktds dutfhätgmd ek 4?? uI Uucfs pdrd skpdrdr ]krvgiiktd Judbtks Mkbtrgnujd Uçmbgmds k gbskrtfs

H[K]USD1 ]dbjrk mfb dbtgmfdjuidbtk mgtrdtf ek sfegf

=.4. MFBEGMGFBK] EKI _DMGKBUK 

Ks rkmfhkbedcik rkmfhkbedcik tfhdr kstds hukstrds mfb dyubf ek fmlf (>-ID IDCC-__ __D D

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Nkm kmld ld Dmt Dmtud udig igzzdmg mgýb ýb11 Egmg Egmgkh khcr crk k /3? /3?4<

trfhcfpidstgbd tgsuidr y mdimgf. Ki hçtfef bf ektkmtd ekngmgkbmgd ek ndmtfrks ek id vèd gbtrèbskmd.

Id ektkrhgbdmgýb sk dpigmd d1 - Kstuegfs ek rutgbd kb ifs dbäigsgs prkqugrñrjgmfs. - Ek Ektk tkmm mmgý gýb b ek ditk ditkrd rdmg mgfb fbks ks kb ifs ifs bg bgvk vkik iks s ek ub ubf f f hä häs s nd ndmt mtfr frks ks gbvfiumrdefs kb id vèd kxtrèbskmd. - Mfbtrfiks tkrdpçutgmfs mfb dbtgmfdjuidbtks frdiks. 5.4.4 EK]MSG_MGFB EKI _SFMKEGHGKBUF Bf DM DMUG UG^G ^GED EDEK EK] ]K K]K ]KBM BMGD GDIK IK] ] SK]_FB]DCIK 4

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EFM[HKBUF SKJG]USF

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Hukstrd Hukstr d ek ]db ]dbjrk jrk ^kb ^kbfs fsd, d,  Duxgigdr ek Idcfrdtfrgf mfb dbtgm dbtgmfdju fdjuidbtk idbtk mgtrdtf ek sfegf (tucf tdpd dzui) Sftu Sf tuik ik mf mfb b tfef tfefs s ifs ifs ed edtf tfs s bkmksdrgfs id hukstrd0 bfhcrk eki pdmgkbtk, buhkrf  Duxgigdr ek Idcfrdtfrgf ek id hukstrd, rd, prukcds d rkdigzdr, efmuhkbtf ek gekbtgede. [bd vkz tfhded id hukstrd sk mkbtrgnujd y sk skpdrd  Duxgigdr ek Idcfrdtfrgf gbhkegdtdhkbtk. Mded vkz quk sk rkmfbstgtuyk ki rkdmtgvf (_U-L]) sk hfbtd  Cdmtkrgýifjd/f mfbtrfiks ek mdigede, bgvki 4 y bgvki 3. Frjd Fr jdbg bgzd zdrr hu huks kstr trds ds sk skjñ jñb b igstd ek trdcdaf y rkjgstrdr ids Cdmtkrgýifjd/f hukstrds pkbegkbtks. ]k kb kbmg mgkb kbek ek ki kq kqug ugpf pf SU SU-33?3 dbdigzdefr ek mfdj mf djui uidm dmgý gýb b y ks kspk pkrd rdrr qu quk k Cdmtkrgýifjd/f dimdbmkb id tkhpkrdt rdturd gbe gbegmd gmded pdrd rkdigzdr ki prfmksf. ]k mf mfif ifmd mdb b d tk tkhp hpkr krdr dr ifs ifs rkdmtgvfs pdrd ki Cdmtkrgýifjd/f prfmksdhgkbtf ek ids hukstrds Cdmtkrgýifjd/f Gb Gbj jrk rksd sdrr ifs ifs rks ksui uitd tde efs di Gbngbgty Cdmtkrgýifjd/f ^digedr ifs rksuitdefs. Cdmtkrgýifjd/f

Mfrrkidmgýb ek frekb y stg`kr 

Nfrhdt Nfrh dtf f mf mfbt btrf rfii ek mdigede ek U_- U_U N-??>-ID IDCC-__ __D D

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Nkm kmld ld Dmt Dmtud udig igzzdmg mgýb ýb11 Egmg Egmgkh khcr crk k /3? /3?4<

5.4.3. GBUKSNKSKBMGD] W IGHGUDMGFBK] EKI DBDI DBDIG]G] G]G]     

 Ki pidshd sk ckck hdbtkbkr rknrgjkrdef ldstd ki hfhkbtf ek rkdigzdr ki kbsdyf. _rfmksdr ids hukstrds kb ki hkbfr tgkhpf pfsgcik pdrd kvgtdr rksuitdefs prfifbjdefs. Ids mfb mfbtdh tdhgbd gbdmgf mgfbks bks vgs vgsgci gciks ks f bf, sfb mdu mdusd sds s ek tgk tgkhpf hpfs s ndi ndisdh sdhkbt kbtk k prfifbjdefs. Lkhfigsgs vgsgcik egngmuitd id hkegmgýb nftf-ýptgmd ek ifs rksuitdefs. Id rki rkidmg dmgýb ýb ek db dbtgm tgmfdj fdjuid uidbtk btk y huk hukstr strd d f id mfb mfbmkb mkbtrd trdmgý mgýb b ek mgtrdt mgtrdtf f utgigzded pukek dnkmtdr ifs tgkhpfs.

5.3 UGKH_F EK USFHCF USFHCF_ID]UGBD _ID]UGBD _DSM _DSMGDI GDI DMUG^DED (U_U f D_UU) ]k ekngbk mfhf ki tgkhpf kb skjubefs bkmksdrgfs pdrd nfrhdmgýb ek mfäjuif ekspuçs ek id degmgýb ek mdimgf y nfsnfièpgefs di pidshd mgtrdtdef pfcrk kb pidquktds. ]u prfmksdhgkbtf sk ldmk ek nfrhd hdbudi f dutfhdtgzded. ]u usf prgbmgpdi rdegmd kb ki mfbtrfi ek id tkrdpgd dbtgmfdjuidbtk y jifcdihkbtk pdrd mfbfmkr ki tgkhpf ek mfdjuidmgýb kb ub hfhkbtf edef. ]grvk pdrd ektkmtdr dbfrhdigedeks kb id vèd gbtrèbskmd ek id mfdjuidmgýb, mfhf sfb ifs ndmtfrks bkmksdrgfs pdrd id nfrhdmgýb eki dmtgvdefr gbtrèbskmf ek id prftrfhcgbd. Ki kbsdyf sk cdsd kb id hkegmgýb eki tgkhpf quk tdred kb mfdjuidr ub pidshd eksmdimgngmdef, mfifmdbef kb ub cdôf d =:±M y kb prkskbmgd ek ub kxmksf ek mkndigbd, dmtgvdefr y mdimgf.

5.3.4 EK]MSG_MGFB EKI _SFMKEGHGKBUF Bf DM DMUG UG^G ^GED EDEK EK] ]K K]K ]KBM BMGD GDIK IK] ] SK]_FB]DCIK 4

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Hukstrd Hukstr d ek ]db ]dbjrk jrk ^kb ^kbfs fsd, d,  Duxgigdr ek Idcfrdtfrgf mfb dbtgm dbtgmfdju fdjuidbtk idbtk mgtrdtf ek sfegf (tucf tdpd dzui) Sftu Sf tuik ik mf mfb b tfef tfefs s ifs ifs ed edtf tfs s bkmksdrgfs id hukstrd0 bfhcrk eki pdmgkbtk, buhkrf  Duxgigdr ek Idcfrdtfrgf ek id hukstrd, rd, prukcds d rkdigzdr, gekbtgede.

efmuhkbtf

ek

EFM[HKBUF SKJG]USF

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Mfrrkidmgýb ek frekb y stg`kr 

 

]DI[E EDSGKB G_] ].D. ]G]UKHD FCIGJDUFSGF EK JDSDBUGD EK ID MDIGEDE HDB[DI EK MFDJ[IDMGFB ]DBT[GBKD Mýegj ýegjf1 f1 HB HB-? -?>>-ID IDCC-__ __D D

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[bd vkz tfhded id hukstrd sk mkbtrgnujd y sk skpdrd gbhkegdtdhkbtk. Mded Md ed vkz quk sk gbgm gbgmgk gk ub rk rkdm dmtgv tgvf f bu bukv kvf f (D (D_U _UUU-KD KD y Mi Mifr frur urf f ek md mdim imgf gf)) sk hf hfbt btd d mfbtrfiks ek mdigede bgvki 4 y bgvki 3 Frjd Fr jdbg bgzd zdrr hu huks kstr trds ds sk skjñ jñb b igstd ek trdcdaf y rkjgstrdr ids hukstrds pkbegkbtks. ]k kb kbmg mgkb kbek ek ki kq kqug ugpf pf SU SU-33?3 dbdigzdefr ek mfdj mf djui uidm dmgý gýb b y ks kspk pkrd rdrr qu quk k dimdbmkb id tkhpkrdt rdturd gbe gbegmd gmded pdrd rkdigzdr ki prfmksf. ]k mf mfif ifmd mdb b d tk tkhp hpkr krdr dr ifs ifs rkdmtgvfs pdrd prfmksdhgkbtf ek hukstrds

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 Duxgigdr ek Idcfrdtfrgf

 Cdmtkrgýifjd/f

Nfrhdt Nfrh dtf f mf mfbt btrf rfii ek mdigede ek U_- U_U N-??>-ID IDCC-__ __D D

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Nkm kmld ld Dmt Dmtud udig igzzdmg mgýb ýb11 Egmg Egmgkh khcr crk k /3? /3?4<

5.= UGKH_F EK ]DBJSGD Ki tgkh tgkhpf pf ek sd sdbj bjrèd rèd hg hgek ek id gbtk gbtkrd rdmm mmgý gýb b ek id ids s pi pidq dquk uktd tds s mf mfb b if ifs s vd vdsf sfs s sdbjuèbk sdbj uèbkfs fs y id pfstk pfstkrgfr rgfr nfrhdm nfrhdmgýb gýb eki mfäju mfäjuif if f tdpýb lkhfs lkhfstätgm tätgmf. f. Hgek dekmudedhkbtk id ndsk vdsmuidr ek id mfdjuidmgýb. Bf ekck nditdr kb bgbjñb kstu ks tueg egf f ek mf mfdj djui uidm dmgý gýb, b, pf pfrq rquk uk ks ub pr prfm fmke kegh ghgk gkbt btf f sghp sghpik ik quk quk di dikr krtd td ekngmgkbmgds pidquktdrgds, pdrd gbtkbsgngmdr su kstuegf. ]k tfhd mfb ubd ikvk pubmgýb kb ki dbtkcrdzf f iýcuif ek id frkad, rkmfjgkbef ids jftds ek sdbjrk kb ub pdpki ek ngitrf ldstd quk kspfbtäbkdhkbtk mksk. ]k hgek ki tgkhpf trdbsmurrk kbtrk id dpdrgmgýb ek id prghkrd jftd ek sdbjrk ldstd id uitghd. Ki hçtfef ek ivy ks ki häs utgigzdef lfy kb eèd y sus vdifrks bfrhdiks vdb ek = d 44 hgbutfs. Kb id tfhd ek hukstrd ks nubedhkbtdi sdckr sg ki pdmgkbtk kstuvf gbjgrgkbef närhdmfs dbtgmfdjuidbtks (ka. Dspgrgbd) f dbtggbnidhdtfrgfs bf kstkrfgediks (ka. Gcuprfnkbf, bdprfxkbf).   5.=.4 EK]MSG_MGFB EKI _SFMKEGHGKBUF Bf DM DMUG UG^G ^GED EDEK EK] ]K K]K ]KBM BMGD GDIK IK] ] SK]_FB]DCIK 4

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]k cu cusm smdb db ifs ifs hd hdtk tkrg rgdi diks ks11  Duxgigdr ek Idcfrdtfrgf pdpki ngitrf, rf, mrfbfhktrf, idbmktd ]k ighpgd ki iýcuif ek id frkad  Duxgigdr ek Idcfrdtfrgf/ (dijfeýb mfb dimflfi) Cdmtkrgýifjd/f ]k ldmk ubd ikvk pubmgýb kb ki iýcuids if jftds ek idek f rkad, kb sk rkmfjk sdbjrk ki pdpki ngitrf y sk vd hgegkbef ki tgkhpf quk trdb rdbsmurrk eksek id prgh rghkrd jftd ek sdbj sd bjrk rk ld ldst std d id ñitgh ñitghd d y sk dbftd ki tgkhpf. Gb Gbj jrk rksd sdrr ifs ifs rks ksui uitd tde efs di Gbngbgty ^digedr ifs rksuitdefs.

 Duxgigdr ek Idcfrdtfrgf/ Cdmtkrgýifjd/f

EFM[HKBUF SKJG]USF

Mfrrkidmgýb ek frekb y ndmturd.

Nfrhdt Nfr hdtf f Mfb Mfbtrf trfii ek hukstrd. N-?4>-ID IDCC-__ __D D

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Supturd ek tucf Ekrrdhdhgkbtf ek id hukstrd Mfbnusgýb ek hukstrds Edôf eki mrfbfhktrf Ekrrdhk ek rkdmtgvf Mfbtdhgbdmgýb ek ids hukstrds f rkdmtgvf

:. CGCIGFJSDNGD 

Hdbudi ek dbdigzdefr ek mfdjuidmgýb SU-33?3  GB]KSUF] EK T[G@MFDJ  GB]KSUF] EK ]FI[_ID]UGB ZGKBKS IDC.  GB]KSUF] EK D_UUK]U KIIDJGMF ZGKBKS IDC.

Kidcfrdef pfr1

 Wkbby _didmgf _didmgf Frtgz Cdmtkrgýifjd Egmgkhcrk / 3?4<

Skvgsdef pfr1

Dprfcdef pfr1