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[治疗性血浆置换对慢性肾小球肾炎患者止血系统的影响]

[Effect of therapeutic plasmapheresis on the system of hemostasis in patients with chronic glomerulonephritis].

作者信息

Savitskaia I V, Dorofeev S B, Tov N L, Barkagan L Z

出版信息

Klin Med (Mosk). 1990 Jun;68(6):65-8.

PMID:2214642
Abstract

Coagulative and thrombocytic hemostasis as well as the fibrinolytic system were studied in 20 patients with chronic glomerulonephritis on plasmapheresis (PA). It is shown that PA promotes activation of platelet aggregation which can be related to their contact activation. Coagulation enhances, antithrombic potential reduces, fibrinogen is mechanically removed as well as fibrin-monomer soluble complexes, fibrin degradation products. In view of the importance of the fibrinolytic system in chronic glomerulonephritis, measures should be taken to correct the disturbances detected.

摘要

对20例接受血浆置换(PA)治疗的慢性肾小球肾炎患者的凝血、血小板止血以及纤维蛋白溶解系统进行了研究。结果表明,血浆置换促进血小板聚集的激活,这可能与其接触激活有关。凝血增强,抗血栓形成潜力降低,纤维蛋白原以及纤维蛋白单体可溶性复合物、纤维蛋白降解产物被机械清除。鉴于纤维蛋白溶解系统在慢性肾小球肾炎中的重要性,应采取措施纠正所检测到的紊乱。

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