Gwero: Nthawi yophatikiza mankhwala padziko lonse lapansi: Seputembara 18, 2021
Odwala ambiri omwe ali ndi chibayo cha coronavirus amadwala pang'onopang'ono ndipo poyambilira samasowa thandizo la chiwalo ku ICU.Novel coronavirus chibayo chidagwiritsidwa ntchito pofufuza N Engl J Med mu Ogasiti 2021. Ofufuza ku Canada, United States ndi Brazil adasindikiza mabuku akale achi China akufufuza zotsatira za chithandizo chamankhwala a heparin anticoagulation mwa odwala omwe ali ndi chibayo chatsopano.
Mbiri: chibayo cha coronavirus chatsopano chimalumikizidwa ndi imfa komanso zovuta chifukwa cha thrombosis ndi kutupa.Ofufuzawo adayerekeza kuti chibayo cha coronavirus chikhoza kusintha zotsatira za odwala omwe ali m'chipatala omwe ali ndi chibayo chatsopano.
Njira: buku la coronavirus chibayo (chithandizo chosakhala ndi chiwalo), chomwe chimatanthauzidwa ngati chisamaliro chosafunikira, chinaperekedwa mwachisawawa ku matanthauzo awiri othandiza: heparin anticoagulation kapena thrombus prophylaxis wokhazikika papulatifomu iyi yotseguka, yosinthika, yambiri, yoyendetsedwa.Chotsatira chachikulu chinali chiwerengero cha masiku opanda chithandizo cha chiwalo, choyesedwa ndi mlingo wotsatizana womwe umaphatikizapo imfa ya m'chipatala (chiwerengero - 1) ndi chiwerengero cha masiku a odwala omwe anapulumuka kuti atuluke popanda chithandizo cha mtima kapena kupuma kwa chiwalo chopuma mpaka tsiku la 21. Zotsatira zonse za odwala zidayesedwa pogwiritsa ntchito ziwerengero za Bayesian komanso kutengera milingo yoyambira ya D-dimer.
Zotsatira: pamene mlingo wachire wa anticoagulation udakumana ndi zomwe zidakhazikitsidwa kale, mayesowo adayimitsidwa.Pakati pa 2219 odwala mu kusanthula komaliza, Mwina mankhwala mlingo anticoagulation kuwonjezeka chiwerengero cha masiku popanda limba thandizo poyerekeza ochiritsira thromboprophylaxis anali 98.6% (kusinthidwa kapena, 1.27; 95% CI, 1.03 ~ 1.58).Kusiyana kwakukulu pakati pa magulu pakusintha kwa moyo kuti atuluke popanda kuthandizira kwa limba kunasonyeza kuti mlingo wochiritsira wa anticoagulation unali wabwinoko, ndipo kusiyana pakati pa magulu awiriwa kunali 4.0% (0.5 ~ 7.2).The Mwina chomaliza cha kupambana kwa achire mlingo anticoagulation pa ochiritsira thromboprophylaxis anali 97.3%, 92.9% ndi 97.3% mu mkulu D-dimer gulu, otsika D-dimer gulu ndi osadziwika D-dimer gulu, motero.chachikulu kukha magazi kunachitika mu 1.9% ndi 0,9% ya odwala mankhwala mlingo anticoagulation gulu ndi thrombosis kupewa gulu, motero.
Kutsiliza: njira yatsopano ya chibayo ya coronavirus imatha kukulitsa mwayi wopulumuka ndikutulutsa ndikuchepetsa kugwiritsa ntchito chithandizo chamtima kapena kupuma kwa odwala omwe ali ndi chibayo chatsopano chatsopano.
Nthawi yotumiza: Sep-18-2021