Makinskiĭ A I, Makovetskiĭ V V
Probl Tuberk. 1992(1-2):10-3.
The process of intravascular hemocoagulation in patients with active pulmonary tuberculosis proved to occur both in the microcirculatory bed of systemic circulation and within the organs, in the microvasculature of the affected lung. Enhanced antithrombin III uptake during intravascular hemocoagulation occurring within the organs in the patients and its insufficient reproduction in the vascular bed of the pulmonary circulation are the most important mechanisms responsible for imbalance in the hemostatic system. It has been concluded that the effective influence on the main focus of a specific lesion during the preoperative management of patients and the improvement of liver function will increase the effectiveness of prevention of thrombohemorrhagic complications in the surgical treatment of pulmonary tuberculosis.
活动性肺结核患者血管内血液凝固过程被证明既发生在体循环的微循环床中，也发生在器官内，即在患侧肺的微血管中。患者器官内发生血管内血液凝固时抗凝血酶III摄取增加，而肺循环血管床中抗凝血酶III补充不足，是止血系统失衡的最重要机制。得出的结论是，在患者术前管理期间对特定病变的主要病灶进行有效干预以及改善肝功能，将提高肺结核手术治疗中预防血栓出血并发症的有效性。
