Alakhverdian R, Denchev K
Vutr Boles. 1979;18(4):28-32.
Serum FDPs were investigated in 30 healthy and 95 patients with pulmonary thrombembolia, not-stabilized angina pectoris, myocardial infarction, rheumatism, rheumatoid arthritis, lupus erythematodes and dermatomyositis. FDPs are determined by hemagglutination inhibition according to Merskey. They are found in the sera of the healthy in average values of 3.73 mkgr/ml. The highest average values in the first 24 h were found in case of pulmonary thrombembolia up to 106.64 mkgr/ml, followed by rheumatoid arthritis 26.3 mkgr/ml, myocardial infarction with complication 22.4 mkgr/ml, rheumatism +5.58 mkgr/ml, not-stabilized angina pectoris 5.5 mkgr/ml; and noncomplicated myocardial infarction 4.3 mkgr/ml. By the third day of the disease FDP in pulmonary thrombembolia decreased, whereas a negligible elevation was observed in case of non-complicated myocardial infarction. The results were interpreted as well as the cause for the presence of the mentioned products in those groups of diseases. FDP determination is recommended as a routine method in case of: diagnosis of pulmonary thrombembolia, differentiation of myocardial infarction with or without complications, differentiation of pulmonary thrombembolia from myocardial infarction in emergency states, progressing with chest pain, collapse phenomena, dyspnea and establishment of the activity of the process of rheumatoid arthritis. FDP determination in stenocardia and rheumatism is not expedient.
对30名健康者以及95例患有肺血栓栓塞、不稳定型心绞痛、心肌梗死、风湿、类风湿性关节炎、红斑狼疮和皮肌炎的患者进行了血清纤维蛋白降解产物(FDPs)检测。FDPs根据默斯基的方法通过血凝抑制法测定。在健康者血清中发现其平均值为3.73微克/毫升。在肺血栓栓塞患者中,发病后最初24小时内FDP的平均最高值可达106.64微克/毫升,其次是类风湿性关节炎患者,为26.3微克/毫升,伴有并发症的心肌梗死患者为22.4微克/毫升,风湿患者为5.58微克/毫升,不稳定型心绞痛患者为5.5微克/毫升;无并发症的心肌梗死患者为4.3微克/毫升。在疾病的第三天,肺血栓栓塞患者的FDP下降,而无并发症的心肌梗死患者仅有轻微升高。对这些结果进行了解释,并分析了在这些疾病组中出现上述产物的原因。建议在以下情况将FDP检测作为常规方法:诊断肺血栓栓塞、鉴别有无并发症的心肌梗死、在紧急情况下鉴别肺血栓栓塞与心肌梗死、伴有胸痛、虚脱现象、呼吸困难的病情进展情况以及确定类风湿性关节炎病情的活动度。对心绞痛和风湿患者进行FDP检测并不适宜。