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[对患有抗凝血因子VIII抗体的甲型血友病患者的治疗]

[Treatment of patients with hemophilia A having antibodies to factor VIII].

作者信息

Lopaciuk S, Ziemski J M

出版信息

Acta Haematol Pol. 1979 Apr-Jun;10(2):115-22.

PMID:474044
Abstract

Four haemophiliacs with antibodies to factor VIII were treated on 7 occasions with fraction FEIBA. Satisfactory clinical results were achieved in patients receiving large doses of the preparation (63-105 units/kg). The administration of fraction FEIBA produced shortening of the whole blood clotting time but there was only a slight correction in the activated partial thromboplastin time. Two patients received prothrombin complex concentrate without clinical improvement in 1 case a good haemostatic effect was achieved after the infusion of cryoprecipitate and in 1 postoperative bleeding ceased with the administration of porcine factor VIII Immunosuppressive therapy with cyclophosphamide in 3 patients failed to prevent the anamnestic rise in antibody titer.

摘要

4例患有抗凝血因子VIII抗体的血友病患者接受了7次FEIBA制剂治疗。接受大剂量该制剂(63 - 105单位/千克)的患者取得了满意的临床效果。FEIBA制剂的使用使全血凝血时间缩短,但活化部分凝血活酶时间仅有轻微校正。2例患者接受了凝血酶原复合物浓缩剂治疗,1例无临床改善,1例输注冷沉淀后取得了良好的止血效果,1例术后出血在给予猪源性凝血因子VIII后停止。3例患者接受环磷酰胺免疫抑制治疗未能预防抗体效价的回忆性升高。

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