Xu C Q, Zeng Yan Jun, Gregersen Hans
Biomechanics Research Center, Beijing Polytechnic University, 100022, Beijing, China.
Med Eng Phys. 2002 Nov;24(9):587-93. doi: 10.1016/s1350-4533(02)00047-4.
In order to confirm which process is the most important in the blood coagulation cascade, a dynamic model of the function of platelets in blood coagulation is provided based on biochemical experiments. A series of conclusions based on qualitative analysis and mathematical simulation are drawn about the influence of the activation rate of factor VIII and factor IX on the generation of thrombin (IIa). It is evident that the pro-coagulation stimulus must exceed a threshold value to initiate the coagulation cascade. The value is related to the rate of platelet activation, the binding constant d2. The stability of the fixed value is also related to the pro-coagulation stimulus. This article also evaluates the influence of the stimulus strength and the activated rate parameter of platelets on thrombin. The proportion of platelets activated at any given time is designated c. To each c, we obtain a maximum concentration of thrombin. It is evident that when the level of factor IX is below 1% of normal levels, the rate of thrombin generation reduces dramatically resulting in severe bleeding tendency.
为了确定血液凝固级联反应中哪个过程最为重要,基于生化实验提供了一个血小板在血液凝固中功能的动态模型。关于因子VIII和因子IX的活化速率对凝血酶(IIa)生成的影响,得出了一系列基于定性分析和数学模拟的结论。显然,促凝刺激必须超过阈值才能启动凝血级联反应。该值与血小板活化速率、结合常数d2有关。该固定值的稳定性也与促凝刺激有关。本文还评估了刺激强度和血小板活化速率参数对凝血酶的影响。在任何给定时间活化的血小板比例指定为c。对于每个c,我们获得一个凝血酶的最大浓度。显然,当因子IX水平低于正常水平的1%时,凝血酶生成速率会急剧降低,导致严重的出血倾向。