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[抗磷脂抗体在血栓形成并发症及产科病理发展中的作用]

[The role of anti-phospholipid antibodies in the development of thrombotic complications and in obstetrical pathology].

作者信息

Prudnikova L Z, Alekberova Z S, Nasonov E L, Side'lnikova V M, Manuĭlova L P

出版信息

Klin Med (Mosk). 1989 Jun;67(6):59-64.

PMID:2779156
Abstract

Examination of 115 women for detection of phospholipid antibodies (PLA), lupus anticoagulant and cardiolipin antibodies has demonstrated that in the absence of PLA all pregnancies terminated in the birth of full-term healthy children, while in their presence there were repeated abortions and (or) intrauterine death of a fetus. Obstetrical pathology in women in the presence of PLA was attended by venous and arterial thrombosis, thrombocytopenia, cerebral vasculitis and vascular affections, which is typical of the picture of the antiphospholipid syndrome. A new approach has been suggested to the treatment of such patients with reduction of the activity of lupus anticoagulant and cardiolipin antibodies owing to which pregnancy can be terminated in the birth of viable children.

摘要

对115名女性进行磷脂抗体(PLA)、狼疮抗凝物和心磷脂抗体检测,结果表明,在没有PLA的情况下,所有妊娠均以足月健康婴儿出生告终,而在有PLA的情况下,则出现反复流产和(或)胎儿宫内死亡。存在PLA的女性产科病理伴有静脉和动脉血栓形成、血小板减少、脑血管炎和血管病变,这是抗磷脂综合征的典型表现。已提出一种新的治疗此类患者的方法,可降低狼疮抗凝物和心磷脂抗体的活性,从而使妊娠能够以存活婴儿出生告终。

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1
[The role of anti-phospholipid antibodies in the development of thrombotic complications and in obstetrical pathology].[抗磷脂抗体在血栓形成并发症及产科病理发展中的作用]
Klin Med (Mosk). 1989 Jun;67(6):59-64.
2
[Clinical value of determining the levels of lupus anticoagulant and anti-cardiolipin antibodies].[检测狼疮抗凝物及抗心磷脂抗体水平的临床价值]
Ter Arkh. 1988;60(7):84-7.
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Identification of rare anti-phospholipid/protein co-factor autoantibodies in patients with systemic lupus erythematosus.系统性红斑狼疮患者中罕见抗磷脂/蛋白辅助因子自身抗体的鉴定
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[The antiphospholipid antibody syndrome: its pathogenesis and clinico-morphological manifestations].[抗磷脂抗体综合征:其发病机制及临床形态学表现]
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IgG reactivity to phospholipid-bound beta(2)-glycoprotein I is the main determinant of the fraction of lupus anticoagulant activity quenched by addition of hexagonal (II) phase phospholipid in patients with the clinical suspicion of antiphospholipid-antibody syndrome.对于临床怀疑抗磷脂抗体综合征的患者,与磷脂结合的β2糖蛋白I的IgG反应性是通过添加六方(II)相磷脂淬灭的狼疮抗凝活性部分的主要决定因素。
Haematologica. 1999 Sep;84(9):829-38.
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[Antiphospholipid antibodies: specificity and mechanism of action].[抗磷脂抗体:特异性及作用机制]
Ann Med Interne (Paris). 1990;141(3):257-60.
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Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(7):104-7.
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Lupus anticoagulant is the strongest risk factor for both venous and arterial thrombosis in patients with systemic lupus erythematosus. Comparison between different assays for the detection of antiphospholipid antibodies.狼疮抗凝物是系统性红斑狼疮患者发生静脉和动脉血栓形成的最强风险因素。不同抗磷脂抗体检测方法的比较。
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[Autoimmune thrombophilia].[自身免疫性血栓形成倾向]
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