Sprott H, Fleck C, Bräunlich H
Friedrich Schiller University, Institute of Pharmacology and Toxicology, Jena, FRG.
Exp Pathol. 1991;42(2):115-20. doi: 10.1016/s0232-1513(11)80060-5.
Bleeding time is prolonged following resection of kidney tissue as well as after ureteral occlusion. Bilateral nephrectomy raises bleeding time from 17 to 67 min, and blood loss can be increased from 2 to 12 microliters/min. Plasmatic coagulation factors remain unchanged in uremic rats. There is no influence of various surgical interventions producing uremia on function of thrombocytes. In rats with intact kidney function and following bilateral nephrectomy a diminution of bleeding time is demonstrable after administration of histamine or captopril. Shortening of bleeding time by the antifibrinolytic substance p-aminomethylbenzoic acid seems to indicate an increased fibrinolytic activity in uremic rats.
肾组织切除后以及输尿管阻塞后出血时间延长。双侧肾切除可使出血时间从17分钟延长至67分钟,失血量可从每分钟2微升增加至12微升。尿毒症大鼠的血浆凝血因子保持不变。各种导致尿毒症的外科手术干预对血小板功能没有影响。在肾功能正常的大鼠以及双侧肾切除后的大鼠中,给予组胺或卡托普利后可观察到出血时间缩短。抗纤维蛋白溶解物质对氨基甲基苯甲酸使出血时间缩短,这似乎表明尿毒症大鼠的纤维蛋白溶解活性增加。