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血栓形成倾向标志物在识别静脉血栓栓塞高危患者中的实际价值。

The real value of thrombophilia markers in identifying patients at high risk of venous thromboembolism.

作者信息

Mannucci Pier Mannuccio, Franchini Massimo

机构信息

Scientific Direction, IRCCS Ca Granda Maggiore Policlinico Hospital Foundation, Via Pace 9, 20122 Milan, Italy.

出版信息

Expert Rev Hematol. 2014 Dec;7(6):757-65. doi: 10.1586/17474086.2014.960385. Epub 2014 Sep 18.

Abstract

Thrombophilia is defined as a condition predisposing to the development of venous thromboembolic complications. Over the past decades, there have been great advances in the understanding of the pathogenesis of venous thromboembolism (VTE) through the identification of several inherited and acquired risk factors. However, in spite of such progress, a number of questions remain unanswered. In particular, it is well known that some subjects carrying several risk factors for VTE will never experience a thrombotic episode while other individuals developed recurrent thromboembolic events with no known risk factor. In this review, we summarize the current knowledge on the various thrombophilia markers, and also discuss their role in the development of thrombotic complications.

摘要

血栓形成倾向被定义为一种易引发静脉血栓栓塞并发症的状态。在过去几十年里,通过识别多种遗传和后天危险因素,人们对静脉血栓栓塞症(VTE)发病机制的认识取得了巨大进展。然而,尽管有这样的进展,仍有一些问题未得到解答。特别是,众所周知,一些携带多种VTE危险因素的个体从未经历过血栓形成事件,而其他个体却在没有已知危险因素的情况下发生了复发性血栓栓塞事件。在这篇综述中,我们总结了目前关于各种血栓形成倾向标志物的知识,并讨论了它们在血栓形成并发症发展中的作用。

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