Soulier J P, Gozin D, Ollier-Hartmann M P, Hartmann L
Nouv Presse Med. 1981 May 2;10(20):1627-31.
Coagulation contact factors were studied in 9 patients with hereditary angioneurotic oedema. After storage of the plasma at O degrees C for 20 hours, activation of prekallikrein and factor VII, together with prekallikrein consumption, were observed. The cold activation, due to deficiency of C1 esterase inhibitor, was not suppressed by polybren in vitro (factor XII activation inhibitor) but was prevented by aprotinins (kallikrein inhibitors). These findings would suggest that patients with hereditary angioneurotic oedema should be investigated for prekallikrein consumption and should be treated with aprotinin as soon as the attack begins.
对9例遗传性血管性水肿患者的凝血接触因子进行了研究。将血浆在0摄氏度下储存20小时后,观察到前激肽释放酶和因子VII的激活以及前激肽释放酶的消耗。由于C1酯酶抑制剂缺乏导致的冷激活,在体外不受聚凝胺(因子XII激活抑制剂)抑制,但可被抑肽酶(激肽释放酶抑制剂)阻止。这些发现表明,对于遗传性血管性水肿患者,应检查其前激肽释放酶的消耗情况,并且一旦发作开始就应使用抑肽酶进行治疗。