Alakhverdian R, Koev D
Vutr Boles. 1987;26(6):72-5.
The fibrin split products, soluble fibrin monomer complexes and other coagulation indices were studied in 38 diabetic patients. In these patients there is a tendency towards hypercoagulation. The patients with retinopathy show higher values of fibrin split products and soluble fibrin monomer complexes than the patients without retinopathy. In 24 diabetic patients with ketoacidosis the follow up showed significant increase of the indices studied and correlation of fibrin split products with blood pH. In patients with severe ketoacidosis and diabetic coma disseminated intravasal coagulopathy was found. The early prophylactic treatment of these complications with antiaggregants and anticoagulants is discussed and recommended.
对38例糖尿病患者的纤维蛋白裂解产物、可溶性纤维蛋白单体复合物及其他凝血指标进行了研究。这些患者有高凝倾向。有视网膜病变的患者,其纤维蛋白裂解产物和可溶性纤维蛋白单体复合物的值高于无视网膜病变的患者。对24例酮症酸中毒的糖尿病患者进行随访,结果显示所研究的指标显著升高,且纤维蛋白裂解产物与血液pH值相关。在严重酮症酸中毒和糖尿病昏迷患者中发现了弥散性血管内凝血。文中讨论并推荐了用抗聚集剂和抗凝剂对这些并发症进行早期预防性治疗。