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深静脉血栓形成中的炎症:一个治疗靶点?

Inflammation in deep vein thrombosis: a therapeutic target?

作者信息

Borgel Delphine, Bianchini Elsa, Lasne Dominique, Pascreau Tiffany, Saller François

机构信息

Laboratoire d'Hématologie, AP-HP, Hôpital Necker-Enfants malades, Paris, France.

INSERM UMR-S1176, Université Paris Saclay, Le Kremlin-Bicêtre, France.

出版信息

Hematology. 2019 Dec;24(1):742-750. doi: 10.1080/16078454.2019.1687144.

Abstract

Deep vein thrombosis is a common disease associated with a variety of complications including post-thrombotic syndrome as a late complication. It is now clear that in addition to classical deep vein thrombosis triggers such as blood flow disturbance, hypercoagulability, and vessel wall changes, inflammation has a key role in the pathophysiology of deep vein thrombosis, and there is a close relationship between inflammation and coagulation. As attested by changes in several plasma biomarkers, inflammation may have a significant role in the development of post-thrombotic syndrome. Here, we review the link between inflammation and deep vein thrombosis and thus the potential value of anti-inflammatory and/or anticoagulant drugs in the treatment of deep vein thrombosis and the prevention of post-thrombotic syndrome.

摘要

深静脉血栓形成是一种常见疾病,与多种并发症相关,包括作为晚期并发症的血栓形成后综合征。现在已经明确,除了诸如血流紊乱、高凝状态和血管壁改变等经典的深静脉血栓形成触发因素外,炎症在深静脉血栓形成的病理生理学中起关键作用,并且炎症与凝血之间存在密切关系。正如几种血浆生物标志物的变化所证明的那样,炎症可能在血栓形成后综合征的发生发展中起重要作用。在此,我们综述炎症与深静脉血栓形成之间的联系,以及抗炎和/或抗凝药物在治疗深静脉血栓形成和预防血栓形成后综合征方面的潜在价值。

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