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[胃和十二指肠疾病患者的血液粘度指标]

[Blood viscosity indicators in patients with gastric and duodenal diseases].

作者信息

Murashko V V, Zhuravlev A K, Shylle Ch I, Shabashova N I, Skliarova M A

出版信息

Ter Arkh. 1985;57(2):31-4.

PMID:4002132
Abstract

A total of 102 patients with peptic ulcer of the stomach and duodenum, chronic gastritis, and erosive gastritis were examined. A statistically significant increase in blood viscosity was recorded during the diseases enumerated. In peptic ulcer and chronic gastritis, the fibrinogen and hematocrit levels did not change quantitatively although quantitative changes in the fibrinogen level were likely to influence blood viscosity. Red cell aggregation was found to be increased, being the main factor responsible for blood viscosity deterioration. The authors studied the effect of cimetidine on blood viscosity in patients with peptic ulcer and the effect of peritol in chronic gastritis. These drugs were found to markedly reduce blood viscosity, as a result of which the circulation in the gastric mucosa improved, promoting the cure of patients with peptic ulcer. According to the authors' opinion, cimetidine, that blocks H2 histamine receptors, lessens the effect of histamine on red cell aggregation, thereby improving blood viscosity.

摘要

对102例胃和十二指肠消化性溃疡、慢性胃炎及糜烂性胃炎患者进行了检查。在所列举的疾病过程中,记录到血液粘度有统计学意义的升高。在消化性溃疡和慢性胃炎中,纤维蛋白原和血细胞比容水平虽无定量变化,不过纤维蛋白原水平的定量变化可能会影响血液粘度。发现红细胞聚集增加,这是导致血液粘度恶化的主要因素。作者研究了西咪替丁对消化性溃疡患者血液粘度的影响以及哌罗匹隆对慢性胃炎的影响。发现这些药物可显著降低血液粘度,结果胃黏膜循环得到改善,促进了消化性溃疡患者的治愈。据作者观点,阻断H2组胺受体的西咪替丁可减轻组胺对红细胞聚集的影响,从而改善血液粘度。

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