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[儿童自闭症和精神分裂症患儿血液高凝状态的血栓动力学参数]

[Thrombodynamic parameters of hypercoagulation of blood in children with childhood autism and schizophrenia].

作者信息

Brusov O S, Simashkova N V, Karpova N S, Faktor M I, Nikitina S G

机构信息

Mental Health Research Center of Russian Academy of Sciences, Moscow, Russia; 'Fibrino' LLC, Moscow, Russia.

Mental Health Research Center of Russian Academy of Sciences, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(1):59-63. doi: 10.17116/jnevro201911901159.

Abstract

AIM

To detect blood plasma coagulability in children with mental diseases using a thrombodynamics test.

MATERIAL AND METHODS

The study included two groups of children. Group 1 included 11 patients with infantile psychosis in autism (F84.02) (4 girls and 7 boys). Group 2 included 8 patients with childhood schizophrenia (F20.8xx3) (4 girls and 14 boys). A test was performed with T-2 Thrombodynamics analyzer (LLC Hemacore, Moscow, Russia).

RESULTS

Thrombodynamic parameters, such as initial, steady-state velocity and spontaneous clots adjusted velocity (Vi, Vst and V, μm/min, respectively) and clot size at 30 minute of thrombodynamics test (CS μm) were significantly increased in the total group of patients (n=29). The time of appearance of spontaneous clots (Tsp), the time of clot lag time (Tlag) and clot density (D) did not differ significantly from the normal values (p=0.98; p=0.27 and p=0.21, respectively). In the autism group (n=11), Vi, Vst and V were significantly higher than normal values, while CS, Tsp, Tlag and D did not differ from norm. In the schizophrenia group (n=18) V, Vst and CS, and Vi were significantly increased. Tsp, Tlag and D did not differ from normal values. Differences between the parameters of thrombodynamics in 1 and 2 groups were not statistical significant.

CONCLUSION

It was shown for the first time that clotting (hypercoagulability) of the blood plasma in patients with autism and childhood schizophrenia was increased. This can cause thrombosis in small vessels of the brain. Early spontaneous clots appear in many patients that indicating the presence of systemic inflammation, possibly associated with an exacerbation of neuroinflammation. The thrombodynamics test allows detection of predisposition to hypercoagulability in the early stages when other methods are not sensitive enough.

摘要

目的

采用血栓动力学试验检测精神疾病患儿的血浆凝固性。

材料与方法

本研究纳入两组儿童。第1组包括11例婴儿期孤独症性精神病(F84.02)患者(4名女孩和7名男孩)。第2组包括8例儿童精神分裂症(F20.8xx3)患者(4名女孩和4名男孩)。使用T-2血栓动力学分析仪(LLC Hemacore,俄罗斯莫斯科)进行检测。

结果

患者总数(n = 29)的血栓动力学参数,如初始、稳态速度和自发凝块调整速度(分别为Vi、Vst和V,μm/分钟)以及血栓动力学试验30分钟时的凝块大小(CS,μm)显著增加。自发凝块出现时间(Tsp)、凝块延迟时间(Tlag)和凝块密度(D)与正常值无显著差异(分别为p = 0.98;p = 0.27和p = 0.21)。在孤独症组(n = 11)中,Vi、Vst和V显著高于正常值,而CS、Tsp、Tlag和D与正常无差异。在精神分裂症组(n = 18)中,V、Vst和CS以及Vi显著增加。Tsp、Tlag和D与正常值无差异。第1组和第2组的血栓动力学参数差异无统计学意义。

结论

首次表明孤独症和儿童精神分裂症患者的血浆凝血(高凝性)增加。这可能导致脑小血管血栓形成。许多患者出现早期自发凝块,表明存在全身炎症,可能与神经炎症加重有关。血栓动力学试验能够在其他方法不够敏感的早期阶段检测出高凝倾向。

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