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[心肌梗死时纤维蛋白原降解产物、可溶性纤维蛋白含量及血液纤溶活性]

[Content of fibrinogen degradation products, soluble fibrin and the fibrinolytic activity of blood in myocardial infarct].

作者信息

Belousov Iu B, Panchenko E P, Pivovarov V A, Nemiro V K

出版信息

Kardiologiia. 1979 Aug;19(8):87-91.

PMID:491364
Abstract

The blood content of soluble fibrin and D and E fibrinogen fragments, the protamine sulfate test and the activity of plasmin and plasminogen activator were studied in patients with macrofocal myocardial infarction. It was established that the content of soluble fibrin in blood considerably increases in the first days of the disease, and the level of products of fibrinogen D and E disintegrationand the value of the protamine sulfate test increase in the 2nd--3rd week of the disease. The appearance in the blood of fibrinogen derivates was attended by low activity of plasmin and plasminogen activator in blood. The highest content of fibrinogen derivates and low activity of plasmin and plasminogen activator were noted in patients with arrhythmias and congestive circulatory insufficiency. It is suggested that the appearance in circulation of high-molecular fibrinogen compounds is important in the development of rheological disorders.

摘要

对大面积心肌梗死患者的可溶性纤维蛋白、D 和 E 纤维蛋白原片段的血液含量、硫酸鱼精蛋白试验以及纤溶酶和纤溶酶原激活物的活性进行了研究。结果表明,可溶性纤维蛋白的血液含量在疾病初期显著增加,而纤维蛋白原 D 和 E 降解产物的水平以及硫酸鱼精蛋白试验的值在疾病的第 2 - 3 周升高。血液中纤维蛋白原衍生物的出现伴随着血液中纤溶酶和纤溶酶原激活物的低活性。心律失常和充血性循环功能不全患者的纤维蛋白原衍生物含量最高,纤溶酶和纤溶酶原激活物活性最低。提示高分子纤维蛋白原化合物在循环中的出现对流变学紊乱的发展具有重要意义。

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