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不稳定型心绞痛和各种类型高脂蛋白血症患者血管壁的抗血栓形成活性、止血及血液流变学特征

[Antithrombogenic activity of the vascular wall, hemostasis, and rheological characteristics of blood in patients with unstable angina pectoris and various types of hyperlipoproteinemia].

作者信息

Kirichuk V F, Voskoboĭ I V

出版信息

Ter Arkh. 2000;72(12):47-50.

Abstract

AIM

To examine antithrombogenic activity of the vascular wall, some hemostatic and rheological properties of blood in patients with unstable angina (UA) and various types of hyperlipoproteinemia (HLP).

MATERIAL AND METHODS

102 UA patients were divided into groups by HLP types according to D. S. Frideriksen. Antithrombogenic properties of blood vessel wall were examined with the cuff test, blood rheology--with AKP-2 analyser, hemostasis and lipid metabolism--with standard test.

RESULTS

UA patients with HLP have low antithrombogenic activity of vascular wall. The most noticeable shifts to hypercoagulation were found in patients with HLP types 2a and 2b. Blood rheology was abnormal (high red cell aggregation in low deformability) in patients with HLP types 2a, 2b and 4.

CONCLUSION

Patients with UA demonstrate relationships between antithrombogenic activity of vascular wall, intensity of lipid metabolism, hemostasis and blood rheology.

摘要

目的

研究不稳定型心绞痛(UA)患者及各种类型高脂蛋白血症(HLP)患者血管壁的抗血栓形成活性、血液的一些止血和流变学特性。

材料与方法

根据D.S.弗里德里克森的方法,将102例UA患者按HLP类型分组。用袖带试验检测血管壁的抗血栓形成特性,用AKP-2分析仪检测血液流变学,用标准试验检测止血和脂质代谢。

结果

伴有HLP的UA患者血管壁的抗血栓形成活性较低。在2a型和2b型HLP患者中发现了最明显的高凝转变。2a型、2b型和4型HLP患者的血液流变学异常(红细胞聚集性高而变形性低)。

结论

UA患者血管壁的抗血栓形成活性、脂质代谢强度、止血和血液流变学之间存在关联。

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