Stokol T, Brooks M, Erb H, Mauldin G E
Department of Biomedical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14850-6401, USA.
J Vet Intern Med. 1999 Sep-Oct;13(5):478-84. doi: 10.1892/0891-6640(1999)013<0478:eokftd>2.3.co;2.
The sensitivities and specificities of 3 commercial serum fibrin(ogen) degradation product (FDP) kits and 1 plasma FDP kit for the detection of FDPs in dogs were determined. Blood was collected for measurement of serum and plasma FDP concentrations from 30 healthy dogs and from 20 dogs that fulfilled clinical and laboratory criteria for disseminated intravascular coagulation. To determine the effect of hemolysis on FDP results, blood was collected simultaneously into Bothrops atrox venom-based and thrombin-based serum collection tubes for measurement of FDPs using a single serum FDP kit. The sensitivity (80-95%) and specificity (90-100%) for a positive or negative FDP result, regardless of concentration, was similar for all kits. Kits yielded discordant results in individual dogs and FDP concentrations obtained from 1 serum FDP kit were consistently higher than those from the other kits. Serum prepared from venom-based collection tubes was significantly more hemolyzed than serum prepared from thrombin-based collection tubes or citrated plasma. Hemolysis did not affect the FDP results. On the basis of these results, we conclude that commercial latex agglutination kits for detection of FDPs in serum and plasma samples from human patients are valid for use in dogs. The plasma FDP assay is a viable alternative to currently used serum FDP assays and has the advantage of using a single (citrated plasma) sample for measuring coagulation parameters and FDP concentration.
测定了3种商用血清纤维蛋白(原)降解产物(FDP)试剂盒和1种血浆FDP试剂盒检测犬FDP的敏感性和特异性。采集了30只健康犬以及20只符合弥散性血管内凝血临床和实验室标准犬的血液,用于测定血清和血浆FDP浓度。为了确定溶血对FDP检测结果的影响,同时将血液采集到基于矛头蝮蛇毒和基于凝血酶的血清采集管中,使用单一血清FDP试剂盒测定FDP。所有试剂盒对于阳性或阴性FDP结果的敏感性(80 - 95%)和特异性(90 - 100%)(无论浓度如何)相似。各试剂盒在个别犬只中产生了不一致的结果,并且从1种血清FDP试剂盒获得的FDP浓度始终高于其他试剂盒。基于蛇毒的采集管制备的血清比基于凝血酶的采集管或枸橼酸盐血浆制备的血清溶血程度明显更高。溶血不影响FDP检测结果。基于这些结果,我们得出结论,用于检测人类患者血清和血浆样本中FDP的商用乳胶凝集试剂盒可有效用于犬类。血浆FDP检测是目前使用的血清FDP检测的可行替代方法,并且具有使用单一(枸橼酸盐血浆)样本测量凝血参数和FDP浓度的优势。