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[儿童肾病综合征中的高凝状态]

[Hypercoagulability in the nephrotic syndrome of children].

作者信息

Vargas R, Pizzuto J, Bosque J D, Santos D

出版信息

Arch Invest Med (Mex). 1975;6(1):23-32.

PMID:1156076
Abstract

Several coagulation factors were studied in twenty children less than 16 years old, bearing nephrotic syndrome. Four of them were in remission. In nephrotic syndrome there is hypercoagulability. Coagulations factors such as fibrinogen, platelet factor III, prothrombin time, and factor V are markedly altered, and to a lesser degree, total number of platelets. Fibrin degradation products factors II, VII, X and VIII are also altered. During remission, all of them improve or become normal. In no case fibrin breakdown products were found in the blood. However, if found in urine, they would be considered as a pronostic index in nephropaties. Although etiologic factors remain unknown for most of the above-mentioned alterations, increased fibrinogen synthesis, decreased fibrinolytic plasms activity and renal damage have been demonstrated.

摘要

对20名16岁以下患肾病综合征的儿童进行了几种凝血因子的研究。其中4名处于缓解期。肾病综合征存在高凝状态。凝血因子如纤维蛋白原、血小板因子III、凝血酶原时间和因子V有明显改变,血小板总数也有较小程度的改变。纤维蛋白降解产物因子II、VII、X和VIII也有改变。在缓解期,所有这些指标都会改善或恢复正常。血液中未发现纤维蛋白降解产物。然而,如果在尿液中发现,它们将被视为肾病的预后指标。尽管上述大多数改变的病因尚不清楚,但已证实纤维蛋白原合成增加、纤溶酶活性降低和肾损伤。

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