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血浆中凝血因子 X 水平在严重烧伤患者中的变化。

The Rise of Factor X Level in Blood Plasma of Patients at Severe Burn Injuries.

机构信息

Shupyk National Medical Academy of Postgraduate Education of Ministry of Health of Ukraine, Kyiv, Ukraine.

Protein Structure and Functions department, Palladin Institute of Biochemistry of NAS of Ukraine, Kyiv, Ukraine.

出版信息

J Burn Care Res. 2022 Jul 1;43(4):965-970. doi: 10.1093/jbcr/irab235.

Abstract

This work is dedicated to the detection of imbalance between the pro- and anticoagulant branches of hemostasis at severe burn injuries by evaluating the content or activity of individual clotting factors. To select the targets for accurate diagnostics we measured the concentrations of soluble fibrin monomeric complexes and fibrinogen, levels of total prothrombin, factor X, protein C, and antithrombin III, and recorded the time of clotting in activated partial thromboplastin time and prothrombin time (PT) tests. Factor X level was increased in 26% of patients on the 1st day after the burn and it rose further in 62% patients on the 14th day of recovery. Increasing factor X level is assumed to be a risk factor of thrombotic complications. We propose to use it as a marker of predisposition to thrombosis at severe burn injury.

摘要

这项工作致力于通过评估单个凝血因子的含量或活性来检测严重烧伤患者止血的促凝和抗凝分支之间的失衡。为了选择准确诊断的目标,我们测量了可溶性纤维蛋白单体复合物和纤维蛋白原的浓度、总凝血酶原、因子 X、蛋白 C 和抗凝血酶 III 的水平,并记录了活化部分凝血活酶时间和凝血酶原时间 (PT) 试验中的凝血时间。在烧伤后第 1 天,26%的患者因子 X 水平升高,在恢复的第 14 天,这一比例进一步上升至 62%。因子 X 水平升高被认为是血栓并发症的危险因素。我们建议将其用作严重烧伤易发生血栓的标志物。

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