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荷瘤大鼠的血液学改变,兼论慢性播散性血管内凝血综合征的发病机制

Hematological alterations in tumor-bearing rats, with reference to pathogenesis of chronic type of disseminated intravascular coagulation syndrome.

作者信息

Khato J, Sato T, Sato H, Abe K, Endo E, Ohta E, Fukuoka Y

出版信息

Gan. 1977 Dec;68(6):797-804.

PMID:202534
Abstract

Hematological studied were carried out serially in the rats transplanted subcutaneously with Yoshida ascites hepatoma AH-109A. Significant changes were observed in fibrinogen level, fibrinogen degradation products, recalcification time, platelet count, and fragmentation of red blood cells. Formation of thrombi was revealed in the vessels of tumor tissue morphologically from early stage when the tumor grew to a palpable size. Thrombi were formed also in the arterioles of the lungs in the terminal stage. Bleeding tendency was noted in some cases at death. These findings suggested the experimental induction of a type of disseminated intravascular coagulation. The systemic changes of the blood occurring in the terminal stage were preceded by localized intravascular coagulation and fibrinolysis in the tumor in early stage of tumor growth.

摘要

对皮下移植吉田腹水肝癌AH - 109A的大鼠进行了一系列血液学研究。观察到纤维蛋白原水平、纤维蛋白原降解产物、复钙时间、血小板计数和红细胞破碎有显著变化。从肿瘤长到可触及大小时的早期阶段开始,在肿瘤组织血管中形态学上显示有血栓形成。在终末期,肺小动脉中也形成了血栓。在一些死亡病例中注意到有出血倾向。这些发现提示实验诱导了一种弥散性血管内凝血。在肿瘤生长早期,肿瘤内局部血管内凝血和纤维蛋白溶解先于终末期发生的全身性血液变化。

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