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[接受血液透析的慢性肾衰竭患者血栓素A2和前列环素水平]

[The level of thromboxane A2 and prostacyclin in patients with chronic kidney failure undergoing hemodialysis].

作者信息

Rud'ko I A, Kubatiev A A, Tsalenchuk Ia P, Stel'makov B G

出版信息

Ter Arkh. 1991;63(6):66-8.

PMID:1948751
Abstract

Overall 14 patients with chronic renal failure treated by hemodialysis were examined. The content of the key metabolites of the arachidonic cascade thromboxane B2, 6-keto-prostaglandin F1 alpha and 12-hydroxyeicosatetraene acid (12-HETE) in blood plasma was reduced in the patients as compared to donors. By the end of hemodialysis, part of the patients showed a tendency towards its normalization, however, no complete recovery was practically recorded. Derangement of the formation of thromboxane A2, prostacyclin and 12-HETE in uremia is likely to be related to reverse inhibition of the function of platelet cyclooxygenase and lipoxygenase by plasma inhibitor. The recovery of the function can be attained after adequate hemodialysis.

摘要

共检查了14例接受血液透析治疗的慢性肾衰竭患者。与捐献者相比,患者血浆中花生四烯酸级联反应关键代谢产物血栓素B2、6-酮-前列腺素F1α和12-羟基二十碳四烯酸(12-HETE)的含量降低。到血液透析结束时,部分患者有恢复正常的趋势,但实际上未观察到完全恢复。尿毒症中血栓素A2、前列环素和12-HETE生成紊乱可能与血浆抑制剂对血小板环氧化酶和脂氧化酶功能的反向抑制有关。充分血液透析后可实现功能恢复。

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