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抗凝血酶III浓缩剂用于治疗儿童弥散性血管内凝血。

Antithrombin III concentrates for treatment of disseminated intravascular coagulation in children.

作者信息

Hanada T, Abe T, Takita H

出版信息

Am J Pediatr Hematol Oncol. 1985 Spring;7(1):3-8.

PMID:4037242
Abstract

Six children (1 month to 5 years old) with DIC were treated with bolus injection of AT-III concentrates and/or continuous heparin infusion. In one case, when AT-III concentrates were administered without heparin, the platelet count was normalized in accordance with a rise in the plasma AT-III level. In the other children, who were treated with both AT-III concentrates and heparin, most of the abnormalities in coagulation studies were normalized within 5 days in four of five cases. These findings suggest that the administration of AT-III concentrates may significantly enhance the therapeutic efficacy of heparin, and that the use of AT-III concentrates with heparin is a safe and effective regimen for the treatment of childhood DIC.

摘要

六名患有弥散性血管内凝血(DIC)的儿童(年龄从1个月至5岁)接受了静脉推注抗凝血酶III(AT-III)浓缩物和/或持续肝素输注治疗。在一个病例中,在未使用肝素的情况下给予AT-III浓缩物,血小板计数随着血浆AT-III水平的升高而恢复正常。在其他同时接受AT-III浓缩物和肝素治疗的儿童中,五例中有四例凝血研究中的大多数异常在5天内恢复正常。这些发现表明,给予AT-III浓缩物可能会显著增强肝素的治疗效果,并且将AT-III浓缩物与肝素联合使用是治疗儿童DIC的一种安全有效的方案。

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1
Antithrombin III concentrates for treatment of disseminated intravascular coagulation in children.抗凝血酶III浓缩剂用于治疗儿童弥散性血管内凝血。
Am J Pediatr Hematol Oncol. 1985 Spring;7(1):3-8.
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Clin Appl Thromb Hemost. 2009 Oct;15(5):561-6. doi: 10.1177/1076029608323497. Epub 2008 Oct 7.

引用本文的文献

1
Antithrombin III (AT) and recombinant tissue plasminogen activator (R-TPA) used singly and in combination versus supportive care for treatment of endotoxin-induced disseminated intravascular coagulation (DIC) in the neonatal pig.抗凝血酶III(AT)和重组组织型纤溶酶原激活剂(R-TPA)单独及联合使用与支持性治疗对新生猪内毒素诱导的弥散性血管内凝血(DIC)的治疗效果比较
Thromb J. 2006 May 18;4:7. doi: 10.1186/1477-9560-4-7.
2
Use of antithrombin III in critical patients.抗凝血酶III在重症患者中的应用。
Intensive Care Med. 1994 Nov;20(8):577-80. doi: 10.1007/BF01705725.
3
Disseminated intravascular coagulation: diagnosis and management.
Indian J Pediatr. 1987 May-Jun;54(3):391-402. doi: 10.1007/BF02748925.
4
Fatal intraoperative disseminated intravascular coagulation.致命性术中弥散性血管内凝血
West J Med. 1989 Dec;151(6):663-5.