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扩张性心肌病患者内皮功能和纤溶活性的变化及其与脑卒中相关性研究
引用本文:陆秋芬. 扩张性心肌病患者内皮功能和纤溶活性的变化及其与脑卒中相关性研究[J]. 实用诊断与治疗杂志, 2008, 22(5): 353-354
作者姓名:陆秋芬
作者单位:上海交通大学医学院附属新华医院,上海市,200092
摘    要:目的:探讨扩张性心肌病患者内皮功能和纤溶活性的变化与脑卒中的关系。方法:38例扩张性心肌病患者随访1.5年,记录脑卒中的发生情况,采用酶联免疫吸附法测定血浆血管性血友病因子、D-二聚体抗原水平,并与正常健康组(20例)对照。结果:扩张性心肌病患者血浆血管性血友病因子、D-二聚体抗原水平高于正常健康组,血管性血友病因子与心功能状态有关(P<0.01)。脑卒中的发生率11%,经logistic多元逐步回归分析提示脑卒中的发生与血管性血友病因子、D-二聚体抗原水平和心房颤动有关(P<0.05)。结论:扩张性心肌病患者血浆血管性血友病因子、D-二聚体抗原水平增高并与脑卒中相关。

关 键 词:扩张型心肌病  血管性血友病因子  D-二聚体  脑卒中
文章编号:1672-3457(2008)05-353-02
修稿时间:2008-03-05

Study on vWF and D-D concentration and the relation with cerebral embolism in dilated cardiomyopathy
LU Qiufen. Study on vWF and D-D concentration and the relation with cerebral embolism in dilated cardiomyopathy[J]. Journal of Practical Diagnosis and Therapy, 2008, 22(5): 353-354
Authors:LU Qiufen
Abstract:Objective To investigate the vWF and D-D concentration and the relation with cerebral embolism in dilated cardiomyopathy patients.Methods The levels of vWF and D-D were measured in dilated cardiomyopathy,and compared with controls.Results There were statistic differences in vWF and D-D concentrations between the dilated cardiomyopathy patients and normal controls(P<0.01).The rate of cerebral embolism in dilated cardiomyopathy patients was related with vWF,D-D and atrial fibrillation(P<0.05).Conclusion The concentrations of VWF and D-D are much higher in dilated cardiomyopathy patients and related to cerebral embolism.
Keywords:Dilated cardiomyopathy  vWF  D-Dimer  cerebral embolism  
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