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[血栓形成倾向作为视网膜中央静脉阻塞的一个危险因素]

[Thrombophilia as a risk factor for central retinal vein occlusion].

作者信息

Undas Anetta, Kubicka-Trzaska Agnieszka

机构信息

II Katedry Chorób Wewnetrznych Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.

出版信息

Klin Oczna. 2003;105(3-4):221-4.

Abstract

Central retinal vein occlusion is associated with systemic conditions, such as arterial hypertension, diabetes, hypercholesterolemia, but also with certain hypercoagulability states (thrombophilia). Growing evidence indicates, that the presence of antiphospholipid antibodies and elevated plasma homocysteine levels predispose to central retinal vein occlusion. In younger patients, factor V Leiden (Arg506Gln) could increase the risk of this disease. Other probable causes of thrombophilia related to retinal vein occlusion include increased levels of plasminogen activator inhibitor 1 and lipoprotein (a), which impair fibrinolysis.

摘要

视网膜中央静脉阻塞与全身性疾病相关,如动脉高血压、糖尿病、高胆固醇血症,也与某些高凝状态(易栓症)有关。越来越多的证据表明,抗磷脂抗体的存在和血浆同型半胱氨酸水平升高易引发视网膜中央静脉阻塞。在较年轻的患者中,凝血因子V莱顿突变(Arg506Gln)可能会增加患此病的风险。与视网膜静脉阻塞相关的其他可能的易栓症病因包括纤溶酶原激活物抑制剂1和脂蛋白(a)水平升高,这会损害纤维蛋白溶解功能。

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