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[放射性纤维蛋白原试验在新鲜深部静脉血栓形成鉴别诊断中的应用]

[The radiofibrinogen test in differential diagnosis of fresh deep venous thrombosis].

作者信息

Jung W, Fridrich R, Duckert F, Gruber U F

出版信息

Schweiz Med Wochenschr. 1975 Mar 29;105(13):391-8.

PMID:1124365
Abstract

The radio-fibrinogen test is a simple and sensitive method for diagnosing deep vein thrombosis. Intravenously administered radioactive labelled fibrinogen is incorporated as radioactive fibrin in freshly developing thrombi, and such labelled thrombi may be detected on the body surface with nuclear medical equipment. Homologous iodine 125 labelled fibrinogen is chiefly used since it is known not to transmit viral hepatitis. The weak gamma emittor 125-I allows the use of a portable scintillation detector rate meter with an easily moved measuring device. This bedside method does not involve discomfort for the patient. The correlation between ascending phlebography and the radioactive fibrinogen test is more than 90 percent. The radiofibrinogen test may be used to study thromboembolic diseases, to evaluate drugs for prevention of thromboembolic complications and to confirm clinically suspected fresh deep vein thrombi. Details of the method as used in several thousand measurements are given.

摘要

放射性纤维蛋白原试验是诊断深静脉血栓形成的一种简单而敏感的方法。静脉注射放射性标记的纤维蛋白原会在新形成的血栓中结合形成放射性纤维蛋白,这样的标记血栓可用核医学设备在体表检测到。主要使用同源碘125标记的纤维蛋白原,因为已知它不会传播病毒性肝炎。弱γ发射体125-I使得能够使用带有易于移动的测量装置的便携式闪烁探测器速率计。这种床边方法不会给患者带来不适。上行静脉造影与放射性纤维蛋白原试验之间的相关性超过90%。放射性纤维蛋白原试验可用于研究血栓栓塞性疾病、评估预防血栓栓塞并发症的药物以及确诊临床上怀疑的新鲜深静脉血栓。文中给出了在数千次测量中所使用方法的详细信息。

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