Schulze B, Kaps H P
Arzneimittelforschung. 1977;27(5):972-5.
The anticoagulant activity of the triiodinated X-ray opaque media iodipamide, iothalamate and diatrizoate on standardized normal human pool plasma was investigated in vitro. We found a dose dependent lengthening of the thrombin time, the reptilase time and the partial thromboplastin time together with a dose dependent drop of the calcium thromboplastin and factor V activity. Iodipamide proved to exert the most pronounced anticoagulant activity of the 3 contrast media tested. The results are interpreted as latent disseminated intravascular coagulation with hyperfibrinolysis following the direct interaction of contrast media with the coagulation enzymes.
在体外研究了三碘代X射线造影剂碘番酸、碘他拉酸盐和泛影酸盐对标准化正常人混合血浆的抗凝活性。我们发现凝血酶时间、蛇毒凝血酶时间和部分凝血活酶时间呈剂量依赖性延长,同时钙凝血活酶和因子V活性呈剂量依赖性下降。在所测试的3种造影剂中,碘番酸的抗凝活性最为显著。这些结果被解释为造影剂与凝血酶直接相互作用后,伴有高纤溶的潜在性弥散性血管内凝血。