Voigt T, Voigt H
Zentralbl Gynakol. 1985;107(6):370-80.
Changes in coagulation of maternal blood in the case of severe gestosis, which indicated a relation to disturbed uteroplacental blood flow, gave rise to study other risk pregnancies and to do specific coagulation analyses. The following parameters were determined in 102 women showing a distinct tendency for premature labor, 20 women patients with suspicion of intrauterine growth retardation, and 18 normal pregnant women: Number of thrombocytes in whole venous blood, fibrinogen, plasminogen, reptilase time, thrombin time. Compared to the control group, a statistically significant increase in the number of thrombocytes was found only in the cohort of women showing signs of imminent premature labor during the 34th to 36th weeks of pregnancy. Both cohorts of patients showed markedly higher levels of plasminogen than the control group over the entire period of gestation studied in this investigation. All other parameters of coagulation showed no significant changes of pathological pregnancies in comparison with normal gravidas.
重度妊娠中毒症时母体血液凝固的变化表明其与子宫胎盘血流紊乱有关,这促使人们对其他高危妊娠进行研究并开展特定的凝血分析。对102名有明显早产倾向的女性、20名怀疑有宫内生长迟缓的女性患者以及18名正常孕妇测定了以下参数:全静脉血中的血小板数量、纤维蛋白原、纤溶酶原、蛇毒凝血酶时间、凝血酶时间。与对照组相比,仅在妊娠第34至36周出现即将早产迹象的女性队列中发现血小板数量有统计学意义的增加。在本研究中所观察的整个妊娠期内,两个患者队列的纤溶酶原水平均明显高于对照组。与正常孕妇相比,所有其他凝血参数在病理妊娠中均未显示出显著变化。