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肝素临床应用中的当前困境

Current dilemmas in the clinical use of heparin.

作者信息

Wessler S

出版信息

Fed Proc. 1977 Jan;36(1):66-9.

PMID:556605
Abstract

The more widespread use of heparin as an effective antithrombotic agent would be greatly facilitated by resolution of the following issues: Clarification of the biological differences between beef and hog heparin. The development of a standard heparin molecule. The modification of heparin for oral use. The availability of a standard in vitro assay of the drug's antithrombotic potential. A meaningful assay of plasma heparin together with a determination of whether or not heparin is present in human plasma in normal and diseased states. Establishment of criterions for determining the proper dosage schedules in various pathological conditions. A reconcilation of USP and International units of heparin.

摘要

解决以下问题将极大地促进肝素作为一种有效抗血栓形成药物的更广泛应用

明确牛肉肝素和猪肝素之间的生物学差异;开发标准肝素分子;对肝素进行口服剂型改造;建立该药物抗血栓形成潜力的标准体外测定方法;进行有意义的血浆肝素测定,并确定正常和患病状态下人体血浆中是否存在肝素;确立在各种病理状况下确定合适给药方案的标准;协调美国药典单位和国际单位的肝素。

相似文献

1
Current dilemmas in the clinical use of heparin.肝素临床应用中的当前困境
Fed Proc. 1977 Jan;36(1):66-9.
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Biological equivalence of beef lung and hog musosal heparins.牛肺肝素与猪黏膜肝素的生物等效性。
Curr Ther Res Clin Exp. 1975 Jul;18(1 Pt1):91-103.
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[Use of antithrombotic agents within the scope of anesthesiology and intensive therapy].[抗血栓形成药物在麻醉学和重症治疗范围内的应用]
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Perspectives on antithrombotic agents: from unfractionated heparin to new antithrombotics.抗血栓药物的展望:从未经分离的肝素到新型抗血栓药物
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The activity of unfractionated heparin and low molecular weight heparins in rabbit plasma--the need for using absolute anti-factor Xa and antithrombin activities.普通肝素和低分子量肝素在兔血浆中的活性——使用绝对抗Xa因子和抗凝血酶活性的必要性。
Thromb Haemost. 1997 Feb;77(2):312-6.
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引用本文的文献

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Fibrinogen-fibrin conversion. The mechanism of fibrin-polymer formation in solution.纤维蛋白原-纤维蛋白转化。溶液中纤维蛋白聚合物形成的机制。
Biochem J. 1980 Jan 1;185(1):1-11. doi: 10.1042/bj1850001.
2
Amino acid sequence of human platelet factor 4.人血小板因子4的氨基酸序列。
Proc Natl Acad Sci U S A. 1977 Jun;74(6):2256-8. doi: 10.1073/pnas.74.6.2256.