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[使用纤维蛋白时间测定仪10测定活化部分凝血活酶时间、血浆肝素和血浆纤维蛋白原]

[Activated thromboplastin time, plasma heparin and plasma fibrinogen using the Fibrintimer 10].

作者信息

Khayat M C, Laforet F, Khayat A, Derlon A, Lequerrec A, Thomas M

机构信息

Laboratoire d'Hématologie (Laboratoire d'hémostase CHRU, Caen.

出版信息

Ann Biol Clin (Paris). 1988;46(8):696-700.

PMID:3218791
Abstract

After a thorough study, and having chosen the machine that is to equip an average sized haemostasis laboratory, the installation then requires certain steps (the reorganisation of work, better adapted reagents, a change of normality, a fine tuning of the technics, the time to get used to the machine). In this perspective, this work describes the regulation of the technic to determine the heparin activity on the Fibrintimer 10 (F 10) by chronometry (thrombin clotting time with variable concentration), a study of the repeatability and reproducibility of activated partial thromboplastin time (APTT), plasma heparin (HEP) and fibrinogen on the Fibrintimer 10, a study of the correlation between the results we got with the F 10 and the thermostat water-bath for the APTT and the HEP and between those we got on the F 10 and the fibrometer for the fibrinogen. The F 10 has allowed us to save more time whilst keeping the same technics and reagents. The determination of the heparin activity, by thrombin clotting time with variable concentration, gives us a method which is quick, cheap and useful for the following-up of the patients undergoing a treatment with standard heparin. The reproducibility and repeatability prove to be good for the 3 tests in our operatory conditions as well as the correlations between the results we get with both methods.

摘要

经过全面研究并选定用于装备中等规模止血实验室的机器后,安装过程需要采取某些步骤(重新安排工作、使用更适配的试剂、改变常规、微调技术、适应机器的时间)。从这个角度来看,本研究描述了通过计时法(不同浓度下的凝血酶凝血时间)来测定纤维蛋白计时器10(F10)上肝素活性的技术规范,对F10上活化部分凝血活酶时间(APTT)、血浆肝素(HEP)和纤维蛋白原的重复性和再现性进行研究,研究我们在F10上得到的结果与用于APTT和HEP的恒温水箱以及F10上得到的结果与用于纤维蛋白原的纤维蛋白仪之间的相关性。F10使我们能够在保持相同技术和试剂的情况下节省更多时间。通过不同浓度下的凝血酶凝血时间来测定肝素活性,为接受标准肝素治疗的患者的随访提供了一种快速、廉价且有用的方法。在我们的操作条件下,这三项检测的再现性和重复性良好,两种方法所得结果之间的相关性也良好。

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