| 영문 | blood clotting, blood coagulation | 한글 | 혈액응고 |
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| 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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| CT | calcitonin; calf testis; cardiac tamponade; cardiothoracic [ratio]; carotid tracing; carpal tunnel; ... |
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| DIVBC | disseminated intravascular blood coagulation |
| DIVC | disseminated intravascular coagulation |
| FMFD | V familial multiple coagulation factor deficiency V |
| F2R | [blood coagulation] factor II receptor |
| lithotripsy, laser | Fragmentation of calculi, notably urinary or biliary, by laser. It is usually performed with an endoscopically guided pulsed tunable dye laser, a combination of a pulsed laser and a dye laser usually referred to as a pulsed dye laser. It is both safe and effective when extracorporeal shockwave lithotripsy is infeasible or unsuccessful. (12 Dec 1998) |
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| blood coagulation | The sequential process by which the multiple coagulation factors of the blood interact, ultimately resulting in the formation of an insoluble fibrin clot; it may be divided into three stages: stage 1, the formation of intrinsic and extrinsic prothrombin converting principle; stage 2, the formation of thrombin; stage 3, the formation of stable fibrin polymers. (12 Dec 1998) |
| blood coagulation factor inhibitors | Substances, usually endogenous, that act as inhibitors of blood coagulation. They may affect one or multiple enzymes throughout the process. As a group, they also inhibit enzymes involved in processes other than blood coagulation, such as those from the complement system, fibrinolytic enzyme system, blood cells, and bacteria. (12 Dec 1998) |
| blood coagulation factors | Endogenous substances, usually proteins, that participate in the blood coagulation process. (12 Dec 1998) |
| blood coagulation tests | Laboratory tests for evaluating the individual's clotting mechanism. (12 Dec 1998) |
| coagulation | 1. <haematology> The process of clot formation. 2. <chemistry> The solidification of a sol into a gelatinous mass, an alteration of a disperse phase or of a dissolved solid which causes the separation of the system into a liquid phase and an insoluble mass called the clot or curd. Coagulation is usually irreversible. 3. <surgery> The disruption of tissue by physical means to form an amorphous residuum, as in electrocoagulation and photocoagulation. Origin: L. Coagulatio (18 Nov 1997) |
| coagulation factor | <haematology> Group of plasma protein substances (Factor I-XIII) contained in the plasma, which act in concert to bring about blood coagulation. Many of the factors contain EGF like domains. (29 Sep 1997) |
| coagulation factor XI | <haematology> A plasma serine protease with an apple domain. (18 Nov 1997) |
| coagulation necrosis | A type of necrosis in which the affected cells or tissue are converted into a dry, dull, fairly homogeneous eosinophilic mass without nuclear staining, as a result of the coagulation of protein as occurs in an infarct; microscopically, the necrotic process involves chiefly the cells, and remnants of histologic elements (e.g., elastin, collagen, muscle fibres) may be recognizable, as well as "ghosts" of cells and portions of cell membranes; may be caused by heat, ischemia, and other agents that destroy tissue, including enzymes that would continue to alter the devitalised cellular substance. (05 Mar 2000) |
| coagulation profile | A test which measures the speed of blood coagulation at different steps of the coagulation pathway. (27 Sep 1997) |
| coagulation time | The time required for blood to coagulate; prolonged in haemophilia and in the presence of obstructive jaundice, some anaemias and leukaemias, and some of the infectious diseases. Synonym: clotting time. (05 Mar 2000) |
| coagulation vitamin | An obsolete term for vitamin K. (05 Mar 2000) |
| whole blood coagulation time | Measurement of the time required by whole blood to produce a visible clot. Factors that could influence the test are all but III, vii, and xiii. Activation may be by contact with the glass tube or exposure to diatomaceous earth. Delay of onset of coagulation may be achieved by use of nonwettable plastic or silicone-coated glass tubes. It is used for monitoring heparin therapy and as a bedside screening test for deficiencies in the intrinsic coagulation pathway. "activated coagulation time" is sometimes referred to as act. (12 Dec 1998) |
| heat coagulation test | A test for measurement of protein in urine; albumin and globulin are coagulated by heat at an acid pH, and the amount of turbidity present provides a qualitative estimation of the degree of proteinuria. (05 Mar 2000) |
| disseminated intravascular coagulation | <haematology> Complication of septic shock in which endotoxin (from gram-negative bacteria) induces systemic clotting of the blood, probably indirectly through the effect of endotoxin on neutrophils. It may also develop in other situations where neutrophils become systemically hyperactivated. Acronym: DIC (11 Jan 1998) |