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阵发性睡眠性血红蛋白尿症血栓前状态部分指标的检测
引用本文:薛重重,李大钧,和虹,王钧,李智存,范雅丽,吴雅锋.阵发性睡眠性血红蛋白尿症血栓前状态部分指标的检测[J].血栓与止血学,1998(1).
作者姓名:薛重重  李大钧  和虹  王钧  李智存  范雅丽  吴雅锋
作者单位:河北省沧州市中心医院 061001 (薛重重,李大钧,和虹,王钧,李智存,范雅丽),河北省沧州市中心医院 061001(吴雅锋)
摘    要:目的:了解PNH患者凝血、纤溶及血小板功能变化,从而对PNH患者有关的血栓前状态进行评估。方法:vWF:Ag、GMP-140采用酶联免疫法;t-PA:A、PAI:A采用发色底物法;PAgT采用TYXN-91凝血仪,ADP为诱导剂。结果:PNH组 vWF:Ag、GMP-140、t-PA:A与PAgT均明显高于对照组(P<0.01,P<0.05),PAI:A无显著性变化(P>0.05)。结论:PNH患者存在血管内皮细胞损伤与血小板活化,从而有利于血栓形成。

关 键 词:阵发性睡眠性血红蛋白尿  血栓前状态

Detection of some interns of prethrombotk state in patients with paroxysmal nocturnal hemoglobinuria
Xue Zhongahong,Li Dajun,He Hong,et al Changzhou Central Hospital,Hebei.Detection of some interns of prethrombotk state in patients with paroxysmal nocturnal hemoglobinuria[J].Chinese Journal of Thrombosis and Hemostasis,1998(1).
Authors:Xue Zhongahong  Li Dajun  He Hong  Changzhou Central Hospital  Hebei
Institution:Xue Zhongahong,Li Dajun,He Hong,et al Changzhou Central Hospital,Hebei,061006
Abstract:Objective:To explore the changes of coagulation, fibrinolysis and platelet function in order to evaluate evalute the prethrombotic state in patients with paroxysmal nocturnal hemoglobinuria (PNH). Methods:Five parameters concerning endotheliocytes, platelets and fibrinolysis were measured in 26 PNH patients. Results: The results showed that there was no difierence of PAI: A between patients with PNH and normal controb, where vWF: Ag, t - PA: A, CMP - 140 and PAgT were much higher in patients with PNH. There was no markedly dif-fence of five parameters between patients with hemoglobinuria and without hemoglobinuia. Conclusion: Prethrombotic state is present in PNH patients, which may be caused by injury of vascular endothelium cells, high platelets activity and low fibrinolyric activity.
Keywords:Hemoglobinuria \ paroxyamal nocturnal prethmnbodc state
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