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[新生儿抗凝血酶III和蛋白C水平]

[Levels of antithrombin III and proteins C in the newborn infant].

作者信息

Abad A, Marco Vera P, Mompel A, García Pérez A

出版信息

Sangre (Barc). 1989 Apr;34(2):91-5.

PMID:2756455
Abstract

Antithrombin III and protein C levels were studied in cord blood from 91 babies born at term with weight adequate to their gestation age. No history of drug ingestion or any other cause of impaired blood coagulation in newborns was present in any of the mothers, and none of these had had thromboembolic diseases. Basic coagulation study and clinical status were normal in all the newborns. Antithrombin III was measured as antigen concentration and functional heparin cofactor, both values being similar (ratio: 0.97) and significantly lower than those of adults (p less than 0.001). Antigenic protein C was assayed by enzyme immunoassay, the value attained being also significantly lower than that of normal adults (p less than 0.001). Factor VII: C rates were assayed in order to establish the protein C/factor VII: C relationship, since this might be useful in detecting protein C deficiency due to the similar biological characteristics of both proteins. It was concluded that health normal newborns show decreased antithrombin III and protein C rates, probably due to lack of liver maturity.

摘要

对91名足月出生、体重与其胎龄相符的婴儿的脐带血中的抗凝血酶III和蛋白C水平进行了研究。所有母亲均无药物摄入史或新生儿凝血功能受损的任何其他原因,且均无血栓栓塞性疾病。所有新生儿的基础凝血研究和临床状况均正常。抗凝血酶III作为抗原浓度和功能性肝素辅因子进行测量,两者值相似(比率:0.97),且显著低于成年人(p<0.001)。通过酶免疫测定法检测抗原性蛋白C,其值也显著低于正常成年人(p<0.001)。检测因子VII:C比率以建立蛋白C/因子VII:C关系,因为由于这两种蛋白质相似的生物学特性,这可能有助于检测蛋白C缺乏症。得出的结论是,健康的正常新生儿抗凝血酶III和蛋白C比率降低,可能是由于肝脏成熟度不足。

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