Zawilska Krystyna
Pracownia Hemostazy Kliniki Hematologii i Chorób Rozrostowych Układu Krwiotwórczego, Uniwersytet Medyczny im. Karola Marcinkowskiego, Poznań.
Pol Arch Med Wewn. 2007;117 Suppl:41-5.
The antiphospholipid syndrome (APS) is a disorder of increased risk of thrombotic complications: venous thromboembolic disease, arterial thrombosis, and recurrent pregnancy loss. There is a much higher rate of recurrences of these thrombotic events as well. Some recent clinical trials have shown the superiority of the lupus anticoagulant and anti-beta2 glycoprotein-I antibodies assays over anticardiolipin determination for the identification of APS patients at risk for thromboembolic complications. The principles of the primary prophylaxis, treatment and secondary prophylaxis of thrombotic complications in patients with antiphospholipid syndrome has been also summarized.
抗磷脂综合征(APS)是一种血栓形成并发症风险增加的疾病:静脉血栓栓塞性疾病、动脉血栓形成和复发性流产。这些血栓形成事件的复发率也高得多。最近的一些临床试验表明,在识别有血栓栓塞并发症风险的APS患者方面,狼疮抗凝物和抗β2糖蛋白-I抗体检测优于抗心磷脂测定。本文还总结了抗磷脂综合征患者血栓形成并发症的一级预防、治疗和二级预防原则。