20 對瀰漫性血管內凝血（disseminated intravascular coagulation, DIC）病人進行藥物治療時，不應給予下列何種治療？
(A) Tranexamic acid
(B) Fresh frozen plasma（新鮮冷凍血漿）
(C) Cryoprecipitate
(D) Platelet（血小板）

答案：登入後查看
統計： A(1130), B(106), C(151), D(486), E(0) #411211

詳解 (共 9 筆)

#3446403

因為好奇，就小小整理了一下，筆記部分是簡易的記法。

整理自 「台灣血液基金會 血液成分精要」

5d159b022fcdc.jpg#s-955,633

5d159b308a0e8.jpg#s-954,692

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#2345558

(A) Tranexamic acid 凝血劑 

(C) Cryoprecipitate 血漿冷凍製劑

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#873972
Disseminated Intravascular Coagulation ，簡稱DIC ），又稱消耗性凝血病 ，是一種嚴重凝血功能障礙的出血性綜合症。 彌散性血管內凝血是多種原因致瀰漫性微血管內血栓形成，[1]繼之因凝血因子及血小板被大量消耗及纖維蛋白溶解亢進而發生，因此這是一種續發性的併發症。
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#2187861
下列患者請謹慎使用1.有血栓的患者及可能...
(共 58 字，隱藏中）
前往觀看
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#3417839

12 下列何者不是細菌性敗血症的併發症？ 
(A) Bleeding 
(B) Hypertension 
(C) Adult respiratory distress syndrome 
(D) Disseminated intravascular coagulation 

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#694400
洪x丘發生的DIC
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#873966
Tranexamic acid is a synthetic analog of the amino acid lysine. It is used to treat or prevent excessive blood loss during surgery and in various other medical conditions. It is an antifibrinolytic that competitively inhibits the activation of plasminogen to plasmin, by binding to specific sites of both plasminogen and plasmin, a molecule responsible for the degradation of fibrin, a protein that forms the framework of blood clots.
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#4920162

https://youtu.be/t4K_yRLlS1o

讓大成法醫跟你說～～
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#2336149

Cryoprecipitate, also called cryo for short, is a frozen blood product prepared from blood plasma. 

use in：

Haemophilia – Used for emergency back up when factor concentrates are not available.

von Willebrand disease – Not currently recommended unless last reserve. ddAVP is first line, followed by factor concentrates.

Hypofibrinogenaemia (low fibrinogen levels), as can occur with massive transfusions

Afibrinogenemia

Bleeding from excessive anticoagulation – Fresh frozen plasma contains most of the coagulation factors and is an alternative choice when anticoagulation has to be reversed quickly.

Massive haemorrhage – RBCs and volume expanders are preferred therapies.

Disseminated intravascular coagulation

Uremic bleeding tendency

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