Ljungberg B, Johnsson H
Department of Medicine, Karolinska Hospital, Stockholm, Sweden.
Thromb Haemost. 1988 Oct 31;60(2):232-5.
Plasma defibrinogenated dogs were used to study the influence of conventional heparin and a low molecular weight heparin fragment (Fragmin, mean MW 5,000 d) on platelet dependent hemostasis. The heparins were given intravenously in gravimetrically equal doses. The bleeding from standardized skin flap wounds and platelet aggregation (ADP and thrombin) was studied. In comparison, higher doses of the fragment than of heparin were required to increase the bleeding. ADP-induced aggregation in defibrinogenated platelet rich plasma (after addition of normal dog plasma) was potentiated by both heparins. After injection of heparin or the fragment, ADP induced platelet aggregation without prior addition of normal plasma to the test-tube. In conclusion the heparin fragment affected bleeding to a less extent than conventional heparin. One explanation might be a weaker inhibition of thrombin-induced platelet aggregation.
使用血浆去纤维蛋白原的狗来研究常规肝素和低分子量肝素片段(法安明,平均分子量5000道尔顿)对血小板依赖性止血的影响。以重量相等的剂量静脉注射肝素。研究了标准皮瓣伤口的出血情况以及血小板聚集(二磷酸腺苷和凝血酶诱导)。相比之下,与肝素相比,需要更高剂量的片段才能增加出血。在去纤维蛋白原的富含血小板血浆中(加入正常犬血浆后),两种肝素均增强了二磷酸腺苷诱导的聚集。注射肝素或片段后,在试管中未预先加入正常血浆的情况下,二磷酸腺苷即可诱导血小板聚集。总之,肝素片段对出血的影响程度小于常规肝素。一种解释可能是其对凝血酶诱导的血小板聚集的抑制作用较弱。