| 영문 | blood clotting, blood coagulation | 한글 | 혈액응고 |
|---|---|---|---|
| 설명 | 사람의 몸에 상처가 나서 출혈이 있을 경우에 이것을 막고 피를 더이상 나지 않게 하는 것을 지혈이라고 한다. 지혈의 과정에는 크게 두 가지 단계가 있다. 첫번째 단계는 혈소판들이 상처가 나서 손상된 혈관의 부위를 막는 것이다. 이렇게 하면 우선 혈관의 손상부위로 부터 피가 나오는 것을 막을 수가 있다. 다음의 단계는 상처를 막고 있는 혈소판위에 여러 가지 물질들이 작용해서 더욱 단단하게 하여 상처가 난 혈관에서 피가 새는 것을 영구히 막는 것이다. 쉽게 말하면 혈소판은 벽돌에 해당하는 것이고 두번째 과정에 참여하는 물질들은 시멘트에 해당하는 것이다. 이 두 과정이 완전할 경우에 지혈이 순조롭게 일어난다. 혈액응고란 두번째 단계를 지칭하는 말로써 매우 복잡한 단계를 거치는 반응으로 마지막 단계는 섬유소라는 물질이 만들어져서 이 물질이 혈소판과 그 외의 세포를 단단하게 고정시켜 피가 상처난 혈관으로 새는 것을 막는다. 이것을 가장 간단히 설명하자면 크게 다음과 같은 3가지 단계로 이루어진다. 첫번째 단계는 혈관손상에 의해서 프로트롬빈 활성제라는 것이 만들어지는 단계이다. 두번째 단계는 이 프로트롬빈 활성제라는 물질에 의해서 혈액속에 있는 프로트롬빈이라는 물질이 트롬빈이라는 물질로 바뀌는 단계이다. 세번째 단계는 트롬빈이라는 물질에 의해서 섬유소원이라는 물질이 섬유소으로 바뀌는 단계이다. |
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| CCF | cancer coagulation factor; cardiolipin complement fixation; carotid-cavernous fistula; centrifuged c... |
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| coag | coagulation, coagulated |
| CT | calcitonin; calf testis; cardiac tamponade; cardiothoracic [ratio]; carotid tracing; carpal tunnel; ... |
| DIVBC | disseminated intravascular blood coagulation |
| DIVC | disseminated intravascular coagulation |
| lipoprotein-associated coagulation inhibitor | Formerly known as anticonvertin; a protein that inhibits the extrinsic pathway of coagulation by binding to the tissue factor III-factor VII-Calcium-factor Xa complex. (05 Mar 2000) |
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| lupus coagulation inhibitor | An antiphospholipid antibody found in association with systemic lupus erythematosus (lupus erythematosus, systemic), antiphospholipid syndrome, and in a variety of other diseases as well as in healthy individuals. In vitro, the antibody interferes with the conversion of prothrombin to thrombin and prolongs the partial thromboplastin time. In vivo, it exerts a procoagulant effect resulting in thrombosis mainly in the larger veins and arteries. It further causes obstetrical complications, including foetal death and spontaneous abortion, as well as a variety of haematologic and neurologic complications. (12 Dec 1998) |
| acute tubular necrosis | <nephrology> A kidney disorder that results in damage to the renal tubule cells leading to acute renal failure. Acute tubular necrosis can result from any condition which deprives the kidney of oxygen (ischaemia). Acute tubular necrosis may occur as a complication of shock, trauma or sepsis. Conditions such as diabetes or liver disease can predispose people to the development of acute tubular necrosis. Certain medications (for example aminoglycosides, amphotericin B, cyclosporine) are known to cause acute tubular necrosis as a toxic side effect. Radiopaque contrast dyes, used in some radiologic procedures, may also result in acute tubular necrosis as a rare complication from contrast dye use. Acronym: ATN (13 Nov 1997) |
| aseptic necrosis | <orthopaedics, pathology> Condition in which poor blood supply to an area of bone leads to bone death. Also called avascular necrosis and osteonecrosis. (12 Dec 1998) |
| avascular necrosis | <radiology> Aetiology (PLASTIC RAGS): P pancreatitis, L lupus, A alcohol, S steroids, T trauma, I idiopathic, infection, C caisson disease, collagen vascular disease, R radiation, rheumatoid arthritis, A amyloid, G Gaucher disease, S sickle cell disease findings: sclerosis, crescent sign, collapse (e.g., of femoral head) see also: staging (12 Dec 1998) |
| avascular necrosis staging | <radiology> Stage CT/X-ray bone scan I - cold/hot spot II sclerotic focus with osteopenic ring III crescent sign (subchondral lucency) IV articular collapse flattening of femoral head sensitivity 86% 78% specificity 79% 75% see also: avascular necrosis (AVN) (12 Dec 1998) |
| bridging hepatic necrosis | Area of liver necrosis which bridges adjacent portal areas and central veins; subsequent post-necrotic collapse and fibrosis is likely to result in cirrhosis. (05 Mar 2000) |
| p60 tumour necrosis factor receptor-associated kinase | <enzyme> Interacts with and causes phosphorylation of the cytoplasmic domain of the tnf receptor Registry number: EC 2.7.10.- Synonym: p60 tnf receptor-associated kinase, p60-trak (26 Jun 1999) |
| papillary necrosis | <radiology> Mnemonic: POST CARD, P pyelonephritis, O obstruction, S sickle cell disease, T TB, C cirrhosis (EtOH), A analgesics (phenacetin and aspirin), R renal vein thrombosis, D diabetes (12 Dec 1998) |
| receptors, tumour necrosis factor | Cell surface receptors that bind tumour necrosis factor and trigger changes which influence the behaviour of cells. The two recognised tumour necrosis factor receptors are designated alpha and beta receptors. Both receptors bind both alpha and beta tumour necrosis factors with high affinity, and both are members of the nerve growth factor receptor family. (12 Dec 1998) |
| caseous necrosis | Caseation necrosis, necrosis characteristic of certain inflammations (e.g., tuberculosis, histoplasmosis), which represents necrosis with loss of separate structures of the various cellular and histologic elements; affected tissue manifests the friable, crumbly consistency and dull, opaque quality observed in cheese. Synonym: caseous degeneration. (05 Mar 2000) |
| globus pallidus necrosis | <radiology> Carbon monoxide poisoning, barbiturate intoxication, cyanide poisoning, hydrogen sulfide poisoning, hypoglycaemia, hypoxia, hypotension, Leigh disease, Wilson disease CT: bilateral, symmetric low density in globus pallidus Cf: methanol intoxication leading to putamenal haemorrhagic necrosis (changes seen more laterally) (12 Dec 1998) |
| renal papillary necrosis | <nephrology> Necrosis of renal papillae, occurring in acute pyelonephritis, especially in diabetics, or in analgesic nephropathy; renal failure may result. Synonym: necrotizing papillitis. (05 Mar 2000) |
| central necrosis | Necrosis involving the deeper or inner portions of a tissue, or an organ or its units. (05 Mar 2000) |
| cerebrocortical necrosis | A noninfectious disease of ruminants characterised by a tissue-thiamine deficiency and by amaurosis and strabismus, followed by recumbency, opisthotonos, and convulsions. Synonym: cerebrocortical necrosis. (05 Mar 2000) |