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全髋关节置换术中血浆和尿液中的凝血酶原片段F1+2

Prothrombin fragment F1+2 in plasma and urine during total hip arthroplasty.

作者信息

Borgen Pål O, Reikeras Olav

机构信息

Department of Orthopedics, Martina Hansens Hospital, Norway.

Department of Orthopedics, Oslo University Hospital, Rikshospitalet, Norway.

出版信息

J Orthop. 2017 Aug 3;14(4):475-479. doi: 10.1016/j.jor.2017.08.001. eCollection 2017 Dec.

Abstract

OBJECTIVE

To study the time course and correlation of prothrombin fragment (F1 + 2) in plasma and urine during THA.

METHOD

F1 + 2 concentrations were recorded at four time-points during THA.

RESULTS

F1 + 2 increased during surgery. In contrast to urine, plasma F1 + 2 was temporarily reduced the first postoperative day. At day six, plasma F1 + 2 was significantly elevated indicating on-going thrombin activation, while urine F1 + 2 was normalized.

CONCLUSION

The response in coagulation to operative trauma can be recorded with F1 + 2 both in plasma and urine. We were not able to demonstrate any correlation of F1 + 2 in plasma and urine later in the postoperative period.

摘要

目的

研究全髋关节置换术(THA)期间血浆和尿液中凝血酶原片段(F1 + 2)的时间进程及相关性。

方法

在THA期间的四个时间点记录F1 + 2浓度。

结果

手术期间F1 + 2升高。与尿液不同,术后第一天血浆F1 + 2暂时降低。在第六天,血浆F1 + 2显著升高,表明凝血酶持续激活,而尿液F1 + 2恢复正常。

结论

血浆和尿液中的F1 + 2均可记录凝血对手术创伤的反应。我们未能证明术后后期血浆和尿液中F1 + 2之间存在任何相关性。

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