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静脉血栓形成

Venous thrombogenesis.

作者信息

Thomas D P

出版信息

Annu Rev Med. 1985;36:39-50. doi: 10.1146/annurev.me.36.020185.000351.

Abstract

The various factors that may be responsible for converting fluid blood into stasis thrombi in the deep veins of the legs are reviewed in relation to some recent experimental data. While stasis promotes the passage of white blood cells through the vascular endothelium, such emigration does not by itself lead to subsequent thrombus formation. Similarly, mechanical crushing of the vein, with exposure of the subendothelium, is not associated with fibrin deposition, and appears to be a relatively poor thrombogenic stimulus. In contrast, trace amounts of an activated clotting factor, combined with local stasis, produce venous thrombi within minutes.

摘要

结合一些最新的实验数据,对可能导致腿部深静脉中流动血液转变为淤滞血栓的各种因素进行了综述。虽然血液淤滞会促进白细胞穿过血管内皮,但这种迁移本身并不会导致随后的血栓形成。同样,静脉的机械性挤压,伴随着内皮下层的暴露,与纤维蛋白沉积无关,似乎是一种相对较弱的血栓形成刺激因素。相比之下,痕量的活化凝血因子与局部淤滞相结合,可在数分钟内形成静脉血栓。

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