Krupiński K, Bodzenta-Lukaszyk A, Lussa A, Bielawiec M
Department of Haematology, Medical School, Białystok, Poland.
Folia Haematol Int Mag Klin Morphol Blutforsch. 1990;117(1):173-8.
Some haemostatic parameters (AT III, alpha 2-AP, C1-INH, kallikrein, F.XII, fibrinogen, plasminogen, euglobulin lysis time, FDP and ethanol test) were studied in patients with deep (DVT) and superficial (SVT) venous thrombosis. The patients with DVT revealed significantly decreased AT III activity, increased alpha 2-AP, C1-INH activity, fibrinogen and FDP concentrations and prolongation of euglobulin lysis time. Ethanol gelation test was positive in 61% in DVT group. Plasminogen level was unchanged in patients with DVT. No significant changes in these parameters were found in SVT group. Only the ethanol gelation test was positive in 21% in this group. These results show a markedly expressed phenomenon of hypercoagulability in the group of patients with DVT and suggest that in the treatment different therapeutic procedures should be considered which influence these specific changes in these coagulation parameters.
对深静脉血栓形成(DVT)和浅静脉血栓形成(SVT)患者的一些止血参数(抗凝血酶III、α2-抗纤溶酶、C1-酯酶抑制物、激肽释放酶、因子XII、纤维蛋白原、纤溶酶原、优球蛋白溶解时间、纤维蛋白降解产物及乙醇试验)进行了研究。DVT患者显示抗凝血酶III活性显著降低,α2-抗纤溶酶、C1-酯酶抑制物活性、纤维蛋白原及纤维蛋白降解产物浓度升高,优球蛋白溶解时间延长。DVT组乙醇凝胶试验阳性率为61%。DVT患者的纤溶酶原水平未发生变化。SVT组这些参数未发现显著变化。该组仅21%乙醇凝胶试验呈阳性。这些结果表明DVT患者组存在明显的高凝现象,并提示在治疗中应考虑采用不同的治疗方法来影响这些凝血参数的特定变化。