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[抗纤维蛋白溶解剂在纤维蛋白血栓中扩散的实验研究。对蛛网膜下腔出血鞘内抗纤维蛋白溶解治疗的贡献]

[Experimental studies on the diffusion of antifibrinolytic agents in fibrin thrombi. A contribution to intrathecal antifibrinolytic therapy in subarachnoid hemorrhages].

作者信息

Hindersin P, Senf L, Richter M, Endler S

出版信息

Folia Haematol Int Mag Klin Morphol Blutforsch. 1982;109(2):313-8.

PMID:6179834
Abstract

The diffusion behaviour and the diffusion coefficients of antifibrinolytics in fibrin thrombi were determined by in vitro incubating attempts with tritium marked compounds of PAMBA, AMCA, and ECA as well as by chromogenic substrate determination for contrykal. The great diffusion ability of PAMBA supports the usefulness of intrathecal therapy of subarachnoidal bleeding for blocking endogenous fibrinolysis, whereas the exogenous fibrinolysis of the fibrin thrombus closing aneurysm is inhibited by the intrathecal application.

摘要

通过使用氚标记的对氨甲基苯甲酸(PAMBA)、6-氨基己酸(AMCA)和依卡酸(ECA)化合物进行体外孵育试验,以及通过对抑肽酶进行发色底物测定,来确定抗纤维蛋白溶解剂在纤维蛋白血栓中的扩散行为和扩散系数。对氨甲基苯甲酸的强大扩散能力支持了鞘内注射治疗蛛网膜下腔出血以阻断内源性纤维蛋白溶解的有效性,而鞘内应用可抑制封闭动脉瘤的纤维蛋白血栓的外源性纤维蛋白溶解。

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