University of Veterinary Medicine Hannover, Bünteweg 9, D-30559 Hannover, Germany.
Vet J. 2011 May;188(2):189-92. doi: 10.1016/j.tvjl.2010.04.002. Epub 2010 May 23.
The aim of this study was to examine the influence of congenital portosystemic shunts (CPSS) on primary haemostasis in dogs. Bleeding time, automated platelet function analysis (PFA 100 analyser), platelet count and platelet aggregation using different methods and agonists were measured in 10 dogs with untreated CPSS and in 10 healthy, age-matched controls. Bleeding time, platelet function analysis and platelet counts did not differ significantly between groups (P>0.05). Aggregation measured using the impedance method (area under the curve) was slightly to moderately reduced with high concentrations of collagen (e.g., 5μg/mL: 2948 ± 524 vs. 3472 ± 571 AUMin) and arachidonic acid (e.g., 1mmol/L: 1006 ± 522 vs. 1963 ± 738 AUMin) (P<0.05), but not with adenosine diphosphate. In contrast, collagen-induced turbidimetric aggregation revealed slightly higher maximum aggregation values in dogs with CPSS. Despite the moderately altered platelet aggregation, the lack of change in global primary haemostasis screening tests indicates that dogs with CPSS do not have regularly occurring clinically relevant disorders of primary haemostasis.
本研究旨在探讨先天性门体分流(CPSS)对犬原发性止血的影响。对 10 只未经治疗的 CPSS 犬和 10 只年龄匹配的健康对照犬进行了出血时间、自动血小板功能分析(PFA-100 分析仪)、血小板计数和使用不同方法和激动剂的血小板聚集检测。两组间出血时间、血小板功能分析和血小板计数无显著差异(P>0.05)。使用阻抗法(曲线下面积)测量的胶原(例如,5μg/mL:2948±524 与 3472±571 AUMin)和花生四烯酸(例如,1mmol/L:1006±522 与 1963±738 AUMin)浓度较高时,聚集程度略有降低(P<0.05),但对二磷酸腺苷无影响。相反,胶原诱导的浊度聚集显示 CPSS 犬的最大聚集值略高。尽管血小板聚集有适度改变,但全面的原发性止血筛选试验无变化表明 CPSS 犬没有经常发生的、临床上相关的原发性止血功能障碍。