Petrella V, Massara G, Parachini F, Silvera F, Cantone R
U.S.L. n. 54 - Borgomanero (Novara) Divisione di Medicina Generale.
Minerva Med. 1988 Feb;79(2):117-21.
Disseminated intravascular coagulation (DIC) and Primary Fibrinolysis (PF) are frequently reported in the literature as occurring in a wide variety of tumours whether subjected to chemotherapy or not and triggering a thrombohemorrhagic mechanism that is often fatal. It was therefore decided to assess the extent of the Fibrinogen-Fibrin Degradation Products (FDP) in a group of cancer patients in order to identify the primary, asymptomatic clinical expressions of these syndromes with a view to ascertaining the possibility of preventing more severe forms. The data confirm the presence of circulating FDP in a small percentage of the patients (26.9%) especially those with solid tumours metastasising to the liver. The involvement of that organ is therefore considered decisive for the onset of DIC and PF.
文献中经常报道,无论是否接受化疗,弥散性血管内凝血(DIC)和原发性纤维蛋白溶解(PF)都常见于多种肿瘤中,并引发一种往往致命的血栓出血机制。因此,决定评估一组癌症患者中纤维蛋白原 - 纤维蛋白降解产物(FDP)的水平,以识别这些综合征的主要无症状临床表现,从而确定预防更严重形式的可能性。数据证实,一小部分患者(26.9%)存在循环FDP,尤其是那些有肝转移的实体瘤患者。因此,肝脏受累被认为是DIC和PF发病的决定性因素。