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狼疮抗凝物质45例临床分析
引用本文:曾淑燕,余展超,黄梓伦. 狼疮抗凝物质45例临床分析[J]. 血栓与止血学, 1994, 0(2)
作者姓名:曾淑燕  余展超  黄梓伦
作者单位:广东省人民医院血液病研究室,广东省人民医院血液病研究室,广东省人民医院血液病研究室 广州 510080,广州 510080,广州 510080
摘    要:本文报道从1985年7月到1993年12月检出有狼疮抗凝物质患者45例,有血栓栓塞现象14例,占31.11%。我们就其病种、临床表现、实验室检查、治疗及预后进行分析。

关 键 词:狼疮抗凝物质  血栓栓塞

Clinical significance of 45 patients with lupus Anticoagulant
Zeng Shu-Yan,Yu Zhan-Chao,Huang Zi-Len. Clinical significance of 45 patients with lupus Anticoagulant[J]. Chinese Journal of Thrombosis and Hemostasis, 1994, 0(2)
Authors:Zeng Shu-Yan  Yu Zhan-Chao  Huang Zi-Len
Abstract:45 patients with lupus Anticoagulant (LA) were found from July 1985 to December 1993. The presence of the LA in these patients was associated with a striking tendency to thrombosis in 14 cases. The abnormality of phospholipid-dependent coagulation tests were prolongation of PT, APTT and TT and could not be carrected by adding normal plasma. Sometimes AT and RVVPF3sT were also prolonged. APTT test is the most sensitive test amount these tests. The ratio of TTI test was more than 1. 3 in M cases (53. 55%), while the PNP test was positive in all patients, LAs are immunoglobulins, usually IgG, occasionally IgM, IgA or mixture. The paresenec LA in an asymptomatic patient is not an indication for treatment,but in some patient,they would be treated with cor-ticosteroid and immunosuppressire aqents.
Keywords:Lupus anticoagulant   Thrombosis.
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