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患有细菌感染和利什曼病的犬类的血小板功能

Platelet function in dogs with bacterial infections and leishmaniasis.

作者信息

Abid Monia, Kalbantner Kerstin, Mischke Reinhard

出版信息

Berl Munch Tierarztl Wochenschr. 2015 Jul-Aug;128(7-8):289-96.

Abstract

The objective of this study was to examine the influence of bacterial infections or leishmaniasis on primary haemostasis in dogs. Capillary bleeding time, automatic platelet function analysis (PFA-100), turbidimetric platelet aggregation, impedance aggregometry, platelet count and, in addition, the haematocrit were investigated in 25 dogs with bacterial infections or leishmaniasis . Results of these diseased dogs were compared to the control group and additionally classified into two subgroups based on criteria of systemic inflammatory response syndrome (SIRS) (groups "SIRS" and "Non-SIRS"). Dogs with infections had a significantly prolonged closure time of the PFA-100 using both cartridges (e. g., collagen/ADP: 83 [55-301] vs. 65 [47-99 s; median [minimum-maximum]; p < 0.0001), a significant decrease in maximal aggregation of the turbidimetric aggregometry (e. g., ADP-induced: 45.2 ± 26.8 vs. 67.3 ± 21.8%; mean ± SD; P = 0.003), a significant increase of collagen-induced impedance aggregometry and a significant suppression of arachidonic acid-induced impedance aggregometry. An enhanced collagen-induced impedance aggregation was the only significant difference between subgroups "SIRS"and "Non-SIRS". In conclusion, although individual tests indicate enhanced platelet aggregation, most of the in vitro tests revealed a normal to moderately reduced functionality. The reduced aggregabiity may partly indicate preactivation of platelets.

摘要

本研究的目的是检测细菌感染或利什曼病对犬类原发性止血的影响。对25只患有细菌感染或利什曼病的犬进行了毛细血管出血时间、自动血小板功能分析(PFA-100)、比浊法血小板聚集、阻抗聚集法、血小板计数以及血细胞比容的检测。将这些患病犬的检测结果与对照组进行比较,并根据全身炎症反应综合征(SIRS)的标准进一步分为两个亚组(“SIRS”组和“非SIRS”组)。感染犬使用两种检测卡时PFA-100的封闭时间均显著延长(例如,胶原/ADP检测卡:83[55 - 301]秒 vs. 65[47 - 99]秒;中位数[最小值 - 最大值];p < 0.0001),比浊法血小板聚集的最大聚集率显著降低(例如,ADP诱导的:45.2±26.8% vs. 67.3±21.8%;平均值±标准差;P = 0.003),胶原诱导的阻抗聚集法显著增加,花生四烯酸诱导的阻抗聚集法显著受抑制。胶原诱导的阻抗聚集增强是“SIRS”组和“非SIRS”组之间唯一的显著差异。总之,尽管个别检测表明血小板聚集增强,但大多数体外检测显示功能正常至中度降低。聚集能力降低可能部分表明血小板已预激活。

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