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[急性心肌梗死患者医院康复期血液中的纤维蛋白原和纤维蛋白降解产物]

[Fibrinogen and fibrin degradation products in the blood of acute myocardial infarct patients at the hospital rehabilitation stage].

作者信息

Solov'ev A V, Ermolin G A, Ignashenkova G V, Dikov M M

出版信息

Ter Arkh. 1987;59(10):21-3.

PMID:3324376
Abstract

An enzyme immunoassay was used for a study of the time course of the content of fibrinogen degradation products (FDP) and free hemoglobin (fHg) in the blood of patients with acute myocardial infarction (AMI) during uncomplicated hospital rehabilitation. A considerable increase in the levels of FDP in the blood serum and fHg in the blood plasma of the AMI patients were noted. These levels were particularly high on the 6-12th day of rehabilitation with further fluctuations on the 22-24th day from the beginning of disease resulting from an increase of the patients' motor activity during rehabilitation which might cause the depletion of endothelial reserves of fibrinolysis activators and an increase in thrombinemia, however changes in the content of FDP and fHg in the blood were more likely associated with DIC-syndrome inherent fluctuations in the system of hemostasis. The content of FDP and fHg in the blood of AMI patients was recommended to be used as a marker of DIC-syndrome and assessment of corrective therapy.

摘要

采用酶免疫测定法研究急性心肌梗死(AMI)患者在无并发症的医院康复期间血液中纤维蛋白原降解产物(FDP)和游离血红蛋白(fHg)含量的时间变化过程。结果发现,AMI患者血清中FDP水平及血浆中fHg水平显著升高。在康复的第6 - 12天这些水平尤其高,从疾病开始起在第22 - 24天进一步波动,这是由于康复期间患者运动活动增加,可能导致纤溶激活剂的内皮储备耗竭和凝血酶血症增加,然而血液中FDP和fHg含量的变化更可能与止血系统固有的弥散性血管内凝血(DIC)综合征波动有关。建议将AMI患者血液中FDP和fHg的含量用作DIC综合征的标志物及评估纠正治疗效果。

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