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全血细胞组织因子活性改变在血栓前状态中的意义
引用本文:徐吟亚,刘金花. 全血细胞组织因子活性改变在血栓前状态中的意义[J]. 血栓与止血学, 2010, 16(2): 63-65
作者姓名:徐吟亚  刘金花
作者单位:武钢总医院检验科,武汉,430080
摘    要:目的检测血循环中血细胞组织因子促凝活性(tissue factor procoagulant activity,TF-PCA),观察有疑似弥散性血管内凝血(disseminated intravascular coagulation,DIC)、疑似深部静脉血栓形成(deep vein thrombosis,DVT)以及糖尿病(diabetes mellitus,DM)时,TF-PCA的改变及其在判断血栓前状态中的意义。方法受检病例95例(其中疑似DIC组12例,疑似DVT组36例,DM组47例)为我院近期住院和门诊患者,正常对照组38例为体检正常自愿献血者。采用脂多糖(lipopolysaccharide,LPS)刺激的全血复钙时间检测全血细胞TF活性(tissue factor clotting time,TiFaCT),根据全血凝固时间缩短的程度(△s)来判断TF-PCA的强弱,对其检测结果进行统计学分析。结果疑似DIC组、疑似DVT组及DM患者组TF-PCA分别是(85.8±16.9)△s、(69.8±17.5)△s、(67.1±21.4)△s,与正常组(30.4±25.1)△s比较差异有极显著性(P0.01)。结论疑似DIC患者、疑似DVT患者和DM患者在LPS刺激后TF-PCA明显增强,TiFaCT对于血栓前状态的诊断及预后评价有重要临床参考价值。

关 键 词:组织因子促凝活性  血栓前状态  弥散性血管内凝血  深部静脉血栓形成  糖尿病

Significance of Measuring Whole Blood Tissue Factor in Prothrombotic State
XU Yin-ya,LIU Jin-hua. Significance of Measuring Whole Blood Tissue Factor in Prothrombotic State[J]. Chinese Journal of Thrombosis and Hemostasis, 2010, 16(2): 63-65
Authors:XU Yin-ya  LIU Jin-hua
Affiliation:XU Yin-ya,LIU Jin-hua(Department of Clinical laboratory,General Hospital of Wuhan Iron , Steel Company,Wuhan,430080,China)
Abstract:Objective To observe the changes of TF-PCA in patients suspected with DIC or DVT and diabetic,and evaluate the significance of TF-PCA to the diagnosis of the prombotic state.Methods 95 samples were taken from hospitalized patients and out-patients(12 cases of suspected with DIC,36 cases of suspected with DVT,and 47 cases of diabetes mellitus),with 38 samples taken from examined people set as normal control.Recalcification time of LPS-stimulated whole blood was applied to evaluate tissue factor clotting time...
Keywords:Tissue factor procoagulant activity  Prothrombotic state  Deep vein thrombosis  Diabetes mellitus  
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