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抗磷脂综合征发病机制及诊治进展
引用本文:张晶,周彬. 抗磷脂综合征发病机制及诊治进展[J]. 实用医院临床杂志, 2011, 8(2): 45-48
作者姓名:张晶  周彬
作者单位:四川省医学科学院·四川省人民医院风湿免疫科,四川,成都,610072
摘    要:抗磷脂综合征(antiphospholipid syndrome,APS)主要表现为血栓形成或病态妊娠,实验室检测抗磷脂抗体(an-tiphospholipid antibody,APL)阳性,如抗心磷脂抗体(anticardiolipin antibody,ACA)、抗β2-糖蛋白1(β2-glycoprotein l,β2-GP1)抗体及狼疮抗凝物(lupus anticoagulant,LAC)。β2-GP1及其抗体在APS发病机理中的作用日益受到人们的重视。APS累及全身多个系统,治疗上除肝素、华法林和阿司匹林外,还可试用免疫抑制剂、大剂量丙种球蛋白等,其他与发病机制相关的免疫治疗仍在进一步研究中。

关 键 词:抗磷脂综合征  抗磷脂抗体  β2-糖蛋白1  抗心磷脂抗体  血栓形成

Pathogenesis and progress of anti phospholipids syndrome
ZHANG Jing,ZHOU Bin. Pathogenesis and progress of anti phospholipids syndrome[J]. Practical Journal of Clinical Medicine, 2011, 8(2): 45-48
Authors:ZHANG Jing  ZHOU Bin
Affiliation:ZHANG Jing,ZHOU Bin(Department of Rheumatism and Immunity,Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital,Chengdu 610072,China)
Abstract:The major features of antiphospholipid syndrome(APS) are thrombosis and morbidity pregnancy with antiphospholipid antibodies positived,which includes anticardiolipin antibody,antiβ2-glycoprotein l antibody and lupus anticoagulant.β2-glycoprotein l and the antibodies plays an increasingly important role in pathogenesis of APS.Except heparin,warfarin and aspirin,we can choose immunosuppressive agents or high dose immunoglobulin G to treat the APS.Other immunotheropies related with the pathogenesis are still in study.
Keywords:Antiphospholipid syndrome  Antiphospholipid antibody  β2-glycoprotein l  Anticardiolipin antibody  Thrombosis
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