亚低温对大鼠急性脑损伤后凝血功能的影响 |
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引用本文: | 巩守平,王丽娟,师蔚,王睿智,吕健,吴锋,车金. 亚低温对大鼠急性脑损伤后凝血功能的影响[J]. 医学争鸣, 2004, 25(2): 108-110 |
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作者姓名: | 巩守平 王丽娟 师蔚 王睿智 吕健 吴锋 车金 |
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作者单位: | 西安交通大学,第二医院神经外科,陕西,西安,710004;西安交通大学,医学院血液病实验室,陕西,西安,710061 |
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摘 要: | 目的: 探讨急性脑损伤亚低温治疗对凝血功能的影响. 方法: 观察大鼠脑损伤亚低温治疗后凝血酶原时间(PT)、部分凝血活酶时间(APTT)、凝血酶时间(TT)和纤维蛋白原(FIB)的变化. 结果: 亚低温组在6 h内PT、APTT、TT较其他组延长, 6 h后快速复位;而脑损伤组PT、APTT及TT在6 h后呈现降低趋势,随后逐渐升高. 亚低温组FIB值于伤后6 h内呈下降趋势,6 h后回升. 脑损伤组FIB值在6 h内呈升高趋势,6 h后下降. 结论: 颅脑损伤早期可致机体的高凝状态,亚低温是颅脑损伤后高凝状态的有效治疗手段.
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关 键 词: | 亚低温 脑损伤 凝血酶原时间 部分凝血活酶时间 凝血酶时间 纤维蛋白原 |
文章编号: | 1000-2790(2004)02-0108-03 |
修稿时间: | 2003-11-20 |
Effect of mild hypothermia on the coagulation function in acute cerebral injured rats |
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Abstract: | AIM: To investigate the effect of mild hypothermic treatment on the coagulation function in acute cerebral injured rats. METHODS: Prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT) and fibrinogen (FIB) levels were studied in cerebral injured rats after treatment with mild hypothermia. RESULTS: PT, APTT, and TT in the mild hypothermia group were longer than in the other groups during the first 6 hours, and then returned to normal levels after 6 hours. In cerebral injured groups, PT, APTT, and TT decreased in the first 6 hours, then increased after 6 hours. FIB levels decreased in the first 6 hours, and increased 6 hours later in the mild hypothermia groups. In cerebral injured groups, FIB levels increased in the first 6 hours and decreased 6 hours later. CONCLUSION: Cerebral injury in the early stage could result in hypercoagulability, and mild hypothermia is an effective method to treat hypercoagulability after cerebral injury. |
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Keywords: | mild hypothermia cerebral injury prothrombin time activated partial thromboplastin time thrombin time fibrinogen |
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