Blood Coagulation Products and Other Hemostatic Agents

Jaehyun Kim
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Abstract

Normal hemostasis is achieved by the concerted interactions of vascular endothelial cells, platelets, and plasma coagulation factors. The blood coagulation mechanism involves the regulated sequence of proteolytic activation of a series of blood coagulation zymogen factors. Some of these blood coagulation factors, either purified from human plasma or produced by recombinant DNA technologies, are used to treat patients with congenital or acquired deficiencies in coagulation factors. Furthermore, blood coagulation products are used for perioperative coagulation management and toical hemostatic agents to help control bleeding during surgery. Thus, the coagulant blood products have great medical importance to treat life-threatening bleeding disorders and serious medical conditions. This review provides an overview and summarizes the clinical use of coagulant blood products. (Korean J Blood Transfus 2021;32:11-21)
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血液凝固产品和其他止血剂
正常的止血是通过血管内皮细胞、血小板和血浆凝血因子的协同作用来实现的。凝血机制涉及一系列凝血酶原因子的蛋白水解激活的调控序列。其中一些凝血因子,从人血浆中纯化或通过重组DNA技术生产,用于治疗先天性或获得性凝血因子缺乏的患者。此外,凝血产品用于围手术期凝血管理和局部止血剂,以帮助控制手术期间的出血。因此,凝血产品在治疗危及生命的出血性疾病和严重疾病方面具有重要的医学意义。本文综述并总结了凝血制品的临床应用。(韩国输血杂志2021;32:11-21)
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