Liu W L, Xiu H Z, Sun H Y
Affiliated Tongji Hospital, Tongji Medical University.
Zhonghua Nei Ke Za Zhi. 1990 Dec;29(12):717-9, 764.
Changes of blood coagulation in 32 cases of SLE were investigated. Abnormalities frequently found were elevation of blood fibrinogen, FDP, V111R: Ag levels, prolonged or shortened KPTT time, and depressed AT-III value. Half of the patients with SLE showed laboratory changes compatible with the diagnostic criteria of DIC, but acute DIC was encountered clinically only in 2 cases hypercoagulation state or hypercoagulation with lower fibrinolysis, however were frequently seen. Lupus anticoagulant were detected in 6 patients and deep vein thrombosis of lower extremity in 1 patient. Examination of blood coagulation in patients with SLE was, therefore, of clinical importance.
对32例系统性红斑狼疮患者的血液凝固变化进行了研究。经常发现的异常包括血纤维蛋白原、纤维蛋白降解产物、ⅧR:Ag水平升高,白陶土部分凝血活酶时间延长或缩短,以及抗凝血酶Ⅲ值降低。一半的系统性红斑狼疮患者显示出符合弥散性血管内凝血诊断标准的实验室变化,但临床上仅2例出现急性弥散性血管内凝血,高凝状态或低纤溶的高凝状态却很常见。6例患者检测到狼疮抗凝物,1例患者出现下肢深静脉血栓形成。因此,对系统性红斑狼疮患者进行血液凝固检查具有临床重要性。