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[病毒性肝炎患者血浆凝血因子及血浆纤溶活性的变化]

[Changes in plasma coagulant factors and plasma fibrinolytic activity in patients with viral hepatitis].

作者信息

Wang H

出版信息

Zhonghua Yi Xue Za Zhi. 1991 Nov;71(11):608-11, 42.

PMID:1666971
Abstract

16 coagulant and 7 fibrinolytic parameters were determined in 121 normal subjects and 456 patients with various types of viral hepatitis. The results showed that plasma concentration of F VIII: c, vWF: Ag and vWF: Ag/VIII: c (P less than 0.01) were much higher than those in the controls. Plasma level of other coagulant factors was progressively reduced when the severity of hepatitis was decreased. The changes of fibrinolytic activity suggest that t-PA, PL and FDP were increased, while PAI, PLG, and alpha-PI were decreased. The results of this study may provide an experimental basis for further study of hemorrhage mechanism and prognosis in patients with viral hepatitis.

摘要

对121名正常受试者和456例不同类型病毒性肝炎患者测定了16项凝血参数和7项纤溶参数。结果显示,F VIII: c、vWF: Ag和vWF: Ag/VIII: c的血浆浓度(P<0.01)显著高于对照组。随着肝炎病情加重,其他凝血因子的血浆水平逐渐降低。纤溶活性的变化表明,组织型纤溶酶原激活物(t-PA)、纤溶酶(PL)和纤维蛋白降解产物(FDP)增加,而纤溶酶原激活物抑制剂(PAI)、纤溶酶原(PLG)和α-抗胰蛋白酶(α-PI)降低。本研究结果可为进一步研究病毒性肝炎患者出血机制及预后提供实验依据。

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