• 제목/요약/키워드: Coagulation control

검색결과 220건 처리시간 0.028초

항응고제 투여중인 다발성 전신질환자에서 과도한 발치창 출혈부의 진정요법과 국소마취 시행하에 창상주위 봉합과 배농술 통한 출혈과 감염조절 (Bleeding & Infection Control by the Circumferential Suture & Drainage on Active Bleeding Extraction Socket under Sedation And Local Anesthesia in a Multiple Medically Compromised Patient with Anticoagulation Drug)

  • 유재하;김종배
    • 대한치과마취과학회지
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    • 제11권2호
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    • pp.177-182
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    • 2011
  • There are five principal causes for excessive bleeding in the immediate postextraction phase ; (1) Vascular wall alteration (wound infection, scurvy, chemicals, allergy) (2) Disorders of platelet function (genetic defect, drug-aspirin, autoimmune disease) (3) Thrombocytopenic purpuras (radiation, leukemia), (4) Inherited disorders of coagulation (hemophilia, Christmas disease, vitamin deficiency, anticoagulation drug-heparin, coumarin, aspirin, plavix). If the hemorrhage from postextraction wound is unusually aggressive, and then dehydration and airway problem are occurred, the socket must be packed with gelatine sponge(Gelfoam) that was moistened with thrombin and wound closure & pressure dressing are applied. The thrombin clots fibrinogen to produce rapid hemostasis. Gelatine sponges moistened with thrombin provide effective coagulation of hemorrhage from small veins and capillaries. But, in dental alveoli, gelatine sponges may absorb oral microorganisms and cause alveolar osteitis (infection). This is a case report of bleeding and infection control by the circumferential suture and iodoform gauze drainage on infected active bleeding extraction socket under sedation and local anesthesia in a 71-years-old male patient with anticoagulation drug.

생물공정 처리수의 PAC (Poly Aluminum Chloride) 응집에 의한 고효율 인 제거 특성 (High-Rate Phosphorous Removal by PAC (Poly Aluminum Chloride) Coagulation of A2O Effluent)

  • 황응주;천효창
    • 대한환경공학회지
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    • 제31권8호
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    • pp.673-678
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    • 2009
  • 2011년부터 시행될 2단계 수질 오염 총량제에 대비하여 고효율 인 제거 공정 개발이 필요하며 본 연구에서는 생물학적 처리와 화학적 응집처리를 조합한 공정이 대안으로 검토되었다. 2세대 응집제로서 최근 많이 사용되고 있는 PAC(poly aluminum chloride)를 이용하고 실제 하수종말처리장 A2O 공정의 호기조 유출수를 시료로 하여 인 응집 특성 및 적정 조건, 효율 향상 방안 등에 대해 실험연구를 수행하였다. 먼저 적정 PAC 투입 농도는 부피기준으로 30 ppm, mol비로는 2.81 mol Al/mol P인 것으로 나타났다. 단순침전에서 17.2%에 불과하던 용존성 인의 제거율이 PAC 10 ppm 투입으로 30.3%까지 증가하였으며, 20 ppm에서 30 ppm으로 PAC 투입량을 증가시킬 때 49.3%에서 88.4%로 제거율을 크게 향상시킬 수 있었다. 이때 총 인의 제거율은 92.4%, 유출수 총 인 농도는 0.3 mg/L로 총량제에 부합하는 방류수 수질을 달성할 수 있었다. 적정한 응집시간은 4분, 침전시간은 20분, 초기 pH는 7로 나타났고 원시료 (pH 7.0)는 별도의 pH 조절 없이 응집 가능한 것으로 판단되었다. pH 7 조건에서 용존성 인의 제거가 크게 향상되었으며, 추가적인 확인 연구가 필요하나, 이는 인의 경우 $Al(OH)_3$에 의한 sweep floc formation이 주요 제거 기작임을 의미하였다. 2차침전조 유입부에 PAC를 투입하여 2차침전조를 응집침전조로 활용하는 방안과 별도의 응집침전조를 2차침전조 후단에 설치하여 PAC를 투입하는 방안을 비교한 결과 PAC 투입량 대비 인 제거효율 증진 관점에서 후자가 바람직한 것으로 조사되었다. 이때 처리수의 인 농도는 0.18 mg/L, 제거율은 95.4%로 향상시킬 수 있었다. 끝으로 응집 처리수를 반송할 경우 인 제거 효율을 높일 수 있었으며 적정 반송율은 0.3인 것으로 분석되었다.

The Clinical Assessment of Protease-Activated Receptor-2 Expression in Inflammatory Cells from Peripheral Blood and Bronchoalveolar Lavage Fluid in Idiopathic Pulmonary Fibrosis

  • Park, Young Sik;Yoo, Chul-Gyu
    • Tuberculosis and Respiratory Diseases
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    • 제74권6호
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    • pp.264-268
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    • 2013
  • Background: Idiopathic pulmonary fibrosis (IPF) is a lethal pulmonary fibrotic disease. In general, the exaggerated activation of the coagulation cascade has been observed during initiation or maintenance of the fibrotic disease. In our recent study, immunohistochemical expression of protease-activated receptor-2 (PAR-2), which plays a key role in coagulation cascade, was observed in surgical specimen of IPF patients, and associated with poor clinical outcome. The aim of this study was to evaluate the overexpression of PAR-2 in inflammatory cells from peripheral blood and bronchoalveolar lavage fluid in IPF patients. Methods: From May 2011 to March 2012, IPF patients and controls were enrolled in Seoul National University Hospital. Peripheral blood and bronchoalveolar lavage fluid were collected for analysis of PAR-2 expression. Flow cytometry and reverse transcription polymerase chain reaction were used for PAR-2 receptor and mRNA assessment. Results: Twelve IPF patients and 14 controls were included in this study. Among them, flow cytometry analysis was conducted from 26 peripheral blood (patient group, 11; control group, 13) and 7 bronchoalveolar lavage fluid (patient group, 5; control group, 2). The expression of PAR-2 receptor was not different between patient and control groups (p=0.074). Among all 24 population, PAR-2 mRNA assessment was performed in 19 persons (patient group, 10; control group, 9). The mRNA expression of PAR-2 was not significant different (p=0.633). Conclusion: In IPF patients, PAR-2 receptor and mRNA expression were not different from control group.

Assessment of mulberry leaf as a potential feed supplement for animal feeding in P.R. China

  • Cai, Ming;Mu, Lan;Wang, Zong-li;Liu, Jian-yong;Liu, Tian-liang;Wanapat, Metha;Huang, Bi-zhi
    • Asian-Australasian Journal of Animal Sciences
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    • 제32권8호
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    • pp.1145-1152
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    • 2019
  • Objective: Mulberry (Morus alba L.) is a cultivated shrub grown widely in the sub-tropical and tropical areas. It has been shown that mulberry leaf contains high levels of protein while having polyphenols as phytonutrients. Therefore, it is important to conduct an experiment to assess potential toxic level from mulberry on behavior, blood hematological and coagulation parameter using Sprague-Dawley (SD) rats. Methods: Both male and female SD rats were given an intragastric administration of respective treatments of mulberry leaf intakes (control, low and high levels). Parameters of feed intake, hematological and coagulation of blood parameters, as well as liveweight changes were taken during the 7 d of adaptation, 28 d of treatment exposure, and 14 d of recovery periods, respectively. All treatment data were statistically analyzed using analysis of variance of SPSS17.0 for Windows Statistical Software following the Randomized complete block design with sex as a block. Results: Most of the parameters of the physical symptoms of the SD rats, were not significantly different (p>0.05) when compared with that of the control group. Those which remain unchanged in each dose group were, body weight (BW) gain, feed intake, the hematology and coagulation indexes. Although, there were a few individual indicators that were abnormal, but the overall physiological appearance of the rats were normal. Conclusion: Results under this experiment revealed that most hematological and coagulation parameters of the SD rats in both male and female were normal, although the weight gain of female rats in high-dose group was significantly reduced than those of the male rats. Under this study, the use of mulberry leaf up to 2 g/kg BW did not result in abnormal phenomenon in the SD rats. These findings would offer useful information for further in vivo feeding trials in animals to extensively use of mulberry leaf to improve animal production, particularly in P.R. China.

낙동강 하류 원수의 응집효율 개선을 위한 황산의 적용 (Application of Sulfuric Acid for Improving Coagulation Efficiency on the Down Stream of Nakdong River)

  • 류동춘;배은영;김상구;손희종;송미정;김영진
    • 대한환경공학회지
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    • 제22권11호
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    • pp.2059-2065
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    • 2000
  • 낙동강 상류지역의 점오염원에서 지속적으로 배출되는 오염물질의 가중과 수량의 부족 현상으로 갈수기에는 하천의 부영양화로 인하여 조류증가에 따른 수화(水花) 현상이 나타나 원수의 pH가 상승하여 응집장애를 야기시키고 있다. 조류에 의한 pH 상승은 정수처리시 적정 응집범위를 벗어나게 하여 응집제의 사용량 증가와 수산화알루미늄의 용해도를 상승시켜 정수중의 잔류알루미늄 증가와 같은 문제를 일으킨다. 따라서 본 연구에서는 황산을 이용하여 상수원수의 pH를 응집공정 전에 조절함으로써 응집제의 주입량 및 산화제 사용량을 줄이고, Jar test 결과 황산을 이용하여 pH를 8.1로 조절한 경우 매우 효과적이고 경제적으로 평가되었으며, 응집제 주입량을 약 30% 정도 저감시켜도 pH를 조절하지 않은 경우와 동일한 탁도 제거율을 보였으며 DOC 및 UV-254 같은 유기물 제거효과는 오히려 높은 것으로 조사되었다.

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Hematological Aspects in A Endotoxemic Young Rabbit Model

  • Park, Seok-Cheol;Kwon, Heun-Young;Kim, Jai-Young;Hwang, Soo-Myung;Kim, Tae-Un;Seong, Hee-Kyung;Kim, Yang-Weon;Lee, Won-Jae
    • 대한의생명과학회지
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    • 제8권3호
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    • pp.115-125
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    • 2002
  • Gram-negative septicemia, which continues to be a serious clinical problem, is one of the major causes of morbidity and mortality in hospitalized patients. Endotoxin of gram-negative bacteria is a pivotal pathogen of sepsis. To understand the effect of endotoxin on hematological aspect and the time course in early childhood, this study was designed with experimental septic model of young rabbits (8 week-old). Rabbits were divided into control (n=7) and endotoxin group (0.50 mg/kg of endotoxin). The endotoxin group was subdivided into six groups by the sampling times: 3, 6, 12, 24, 48 and 72 hr-group (E-G$_{3}$, E-G$_{6}$, E-G$_{12}$, E-G$_{24}$, E-G$_{48}$ and E-G$_{72hrs}$, each n=7). The evaluation of CBC, activated partial thromboplastin time (APTT), prothrombin time (PT), fibrinogen concentration, coagulation factors and D-dimer were taken from the bloods. The number of leukocytes was lower in E-G$_{3}$ and E-G$_{6hrs}$ (due to pantocytopenia), whereas it was higher in E-G$_{24}$ and E-G$_{48}$ (due to neutrophilia and/or lymphophilia) than in control group (P<0.05). Platelet counts in E-G$_{3}$, E-G$_{6}$, E-G$_{12}$, E-G$_{24}$ and E-G$_{48hrs}$ were lower than those of control group (P<0.05). Normoblast counts in E-G$_{3}$, E-G$_{6}$, E-G$_{12}$, E-G$_{24}$ and E-G$_{48hrs}$ were higher than those of control group (p<0.01). APTT in E-G$_{3}$, E-G$_{6}$, E-G$_{12}$, E-G$_{24}$ and E-G$_{72hrs}$ were longer while PT in E-G$_{3}$, E-G$_{6}$, E-G$_{48}$ and E-G$_{72hrs}$ were higher than those of control group (p<0.05). Fibrinogen concentrations were lower in E-G$_{3}$, E-G$_{6}$ and E-G$_{12}$ but higher in E-G$_{48}$ and E-G$_{72hrs}$ than those of control (p<0.05). Intrinsic coagulation factors (XII, XI, IX, VIII) in all endotoxin groups were significantly lower than those of control group (p<0.05). Extrinsic coagulation factor (X, VII, V, II) were lower in E-G$_{3}$, E-G$_{6}$, E-G$_{12}$ and E-G$_{24hrs}$ whereas they were higher in E-G$_{48}$ and E-G$_{72hrs}$ than in control group (p<0.05). D-dimer concentrations in E-G$_{48}$ and E-G$_{72hrs}$ were higher than those of control group (P<0.001). We concluded that endotoxin led to extensive hematological disturbances including disseminated intravascular coagulation in the young rabbits and that this pathologic condition in the infant and childhood groups will cause the grave results.

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Determination of Optimum Coagulants (Ferric Chloride and Alum) for Arsenic and Turbidity Removal by Coagulation

  • Choi, Young-Ik;Jung, Byung-Gil;Son, Hee-Jong;Jung, Yoo-Jin
    • 한국환경과학회지
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    • 제19권8호
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    • pp.931-940
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    • 2010
  • The Raw water from Deer Creek (DC) reservoir and Little Cottonwood Creek (LCC) reservoir in the Utah, USA were collected for jar test experiments. This study examined the removal of arsenic and turbidity by means of coagulation and flocculation processes using of aluminum sulfate and ferric chloride as coagulants for 13 jar tests. The jar tests were performed to determine the optimal pH range, alum concentration, ferric chloride concentration and polymer concentration for arsenic and turbidity removal. The results showed that a comparison was made between alum and ferric chloride as coagulant. Removal efficiency of arsenic and turbidity for alum (16 mg/L) of up to 79.6% and 90.3% at pH 6.5 respectively were observed. Removal efficiency of arsenic and turbidity for ferric chloride (8 mg/L) of up to 59.5% at pH 8 and 90.6% at pH 8 respectively were observed. Optimum arsenic and turbidity removal for alum dosages were achieved with a 25 mg/L and 16 mg/L respectively. Optimum arsenic and turbidity removal for ferric chloride dosages were achieved with a 20 mg/Land 8 mg/L respectively. In terms of minimizing the arsenic and turbidity levels, the optimum pH ranges were 6.5 and 8for alum and ferric chloride respectively. When a dosage of 2 mg/L of potassium permanganate and 8 mg/L of ferric chloride were employed, potassium permanganate can improve arsenic removal, but not turbidity removal.

Effects of Ulinastatin on Postoperative Blood Loss and Hemostasis in Atrioventricular Valve Surgery with Cardiopulmonary Bypass

  • Park, Jae Bum;Kim, Seong Hyop;Lee, Song Am;Chung, Jin Woo;Kim, Jun Seok;Chee, Hyun Keun
    • Journal of Chest Surgery
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    • 제46권3호
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    • pp.185-191
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    • 2013
  • Background: Cardiopulmonary bypass (CPB) induces variable systemic inflammatory reactions associated with major organ dysfunction via polymorphonuclear neutrophils (PMNs). Ulinastatin, a urinary trypsin inhibitor, inhibits PMN activity and reduces systemic inflammatory responses. The aim of this study is to evaluate the effect of ulinastatin on postoperative blood loss and laboratory changes in patients undergoing open heart surgery. Materials and Methods: Between January 2008 and February 2009, 110 patients who underwent atrioventricular valve surgery through right thoracotomy were divided into two groups. Patients received either 5,000 U/kg ulinastatin (ulinastatin group, n=41) or the equivalent volume of normal saline (control group, n=69) before aortic cross clamping. The primary end points were early coagulation profile changes, postoperative blood loss, transfusion requirements, and duration of intubation and intensive care unit stay. Results: There were no statistically significant differences between the two groups in early coagulation profile, other perioperative laboratory data, and postoperative blood loss with transfusion requirements. Conclusion: Administration of ulinastatin during operation did not improve the early coagulation profile, postoperative blood loss, or transfusion requirements of patients undergoing open heart surgery. In addition, no significant effect of ulinastatin was observed in major organs dysfunction, systemic inflammatory reactions, or other postoperative profiles.

해조류 메탄올 추출물의 Prolyl Endopeptidase, Tyrosinase 저해 및 항응고 활성 스크리닝 (Inhibition Activities of Sea Weeds on Prolyl Endopeptidase, Tyrosinase and Coagulation)

  • 이현진;김진희;이주현;김종식;곽상태;이경복;송경식;최병욱;이봉호
    • 생약학회지
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    • 제30권3호
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    • pp.231-237
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    • 1999
  • About forty sea weeds were screened for their inhibitory effects against prolyl endopeptidase, tyrosinase and thrombus coagulation. Out of them, methanolic extract of Ecklonia cava, Sargassum patens, Sargassum hemiphyllum, Sargassum thunbergii, Sargassum singgildianum, Hizikia fusiformis, and Ishige okamurae inhibited more than 90% of prolyl endopeptidase activity at 40 ppm. Sargassum siliquastrum and Ecklonia cava exhibited 51% and 76% of inhibitory activity against tyrosinase at 40 ppm, respectively. In APTT assay system, Sargassum singgildianum, Pterocladia capilacea and Hizikia fusiformis delayed coagulation of thrombus about two times (210, 211, and 198% over control at ca 367 ppm, respectively) and in TT assay, Lomentaria catenata, Laurencia okamurae, and Hizikia fusiformis did most effectively (216,197, and 251% at ca 367 ppm, respectively).

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중증 간경변증 환자에서 발치창 과도 출혈부의 지속적 배농술을 통한 지혈 : 증례보고 (BLEEDING CONTROL BY CONTINUOUS WOUND DRAINAGE OF ACTIVE BLEEDING SITES OF TEETH EXTRACTION WOUND IN A PATIENT WITH ADVANCED LIVER CIRRHOSIS : REPORT OF A CASE)

  • 모동엽;유재하;최병호;김하랑;이천의;유미현
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권6호
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    • pp.431-436
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    • 2009
  • There are five principal causes for excessive bleeding in the immediate postextraction phase ; (1) Vascular wall alteration (wound infection, scurvy, chemicals, allergy) (2) Disorders of platelet function (genetic defect, drug-aspirin, autoimmune disease) (3) Thrombocytopenic purpuras (radiation, leukemia), (4) Inherited disorders of coagulation (hemophilia, Christmas disease, vitamin deficiency, anticoagulation drug-heparin, coumarin). If the hemorrhage from postextraction wound is unusually aggressive, and then dehydration and airway problem are occurred, the socket must be packed with gelatine sponge(Gelfoam) that was moistened with thrombin and wound closure & pressure dressing are applied. The thrombin clots fibrinogen to produce rapid hemostasis. Gelatine sponges moistened with thrombin provide effective coagulation of hemorrhage from small veins and capillaries. But, in dental alveoli, gelatine sponges may absorb oral microorganisms and cause alveolar osteitis (infection). This is a case report of bleeding control by continuous rubber strip & iodoform gauze drainage (without gelfoam packing) of active bleeding infection sites of three teeth extraction wounds in a 46-years-old female patient with advanced liver cirrhosis.