Jergens A E, Turrentine M A, Kraus K H, Johnson G S
Comparative Hemostasis Laboratory, College of Veterinary Medicine, University of Missouri, Columbia 65211.
Am J Vet Res. 1987 Sep;48(9):1337-42.
The buccal mucosa bleeding time (BMBT; duration of hemorrhage from standardized cuts made with a spring-loaded disposable device in the mucosal surface of the upper lip) was used to evaluate the hemostatic competence of dogs. The mean (+/- SD) BMBT for 34 healthy dogs was 2.62 +/- 0.49 minutes. The BMBT of healthy dogs anesthetized with halothane or tranquilized with xylazine were not significantly different from the BMBT of healthy dogs evaluated without chemical restraint. The BMBT was significantly (P less than 0.01) prolonged 21 hours after aspirin (10 mg/kg of body weight) was administered orally to 10 healthy dogs; however, the mean aspirin-induced increase in BMBT was only 0.40 minutes. The BMBT of 28 of 30 dogs with various diseases not traditionally associated with hemostatic deficiencies were near or within the range of BMBT for healthy dogs; however, 2 dogs had BMBT of greater than 8 minutes. In contrast, BMBT were prolonged in most dogs with diseases known to induce deficient primary hemostasis; the 3 dogs with thrombocytopenia (less than or equal to 20,000 platelets/microliter), the 7 Doberman Pinschers with von Willebrand's disease (von Willebrand factor antigen; less than or equal to 18 U/dl), and 5 of the 6 dogs with severe azotemia (serum urea nitrogen; greater than or equal to 124 mg/dl) had prolonged BMBT. The BMBT of 16 dogs were determined immediately before they were subjected to various surgical procedures, and the severity of the hemorrhage encountered during these procedures was subjectively evaluated; the amount of hemorrhage from 12 of the 16 dogs was considered to be appropriate for the corresponding surgical procedures, but the remaining 4 dogs bled excessively during surgery.(ABSTRACT TRUNCATED AT 250 WORDS)
采用颊黏膜出血时间(BMBT;用弹簧式一次性装置在上唇黏膜表面进行标准化切口后出血的持续时间)来评估犬的止血能力。34只健康犬的平均(±标准差)BMBT为2.62±0.49分钟。用氟烷麻醉或用赛拉嗪镇静的健康犬的BMBT与未进行化学约束评估的健康犬的BMBT无显著差异。给10只健康犬口服阿司匹林(10mg/kg体重)21小时后,BMBT显著延长(P<0.01);然而,阿司匹林引起的BMBT平均增加仅0.40分钟。30只患有各种传统上与止血缺陷无关疾病的犬中,28只的BMBT接近或在健康犬的BMBT范围内;然而,有2只犬的BMBT大于8分钟。相比之下,大多数已知会导致原发性止血缺陷的疾病犬的BMBT延长;3只血小板减少症(血小板≤20000/微升)犬、7只患有血管性血友病的杜宾犬(血管性血友病因子抗原≤18U/dl)以及6只严重氮质血症犬(血清尿素氮≥124mg/dl)中的5只BMBT延长。在16只犬接受各种外科手术前立即测定其BMBT,并对手术过程中遇到的出血严重程度进行主观评估;16只犬中有12只的出血量被认为与相应的外科手术相适宜,但其余4只犬在手术过程中出血过多。(摘要截短于250词)