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脑血管疾病中的血脂、血小板及纤溶活性

Serum lipids, platelets, and fibrinolytic activity in cerebrovascular disease.

作者信息

Bansal B C, Prakash C, Arya R K, Gulati S K, Mittal S C

出版信息

Stroke. 1978 Mar-Apr;9(2):137-9. doi: 10.1161/01.str.9.2.137.

DOI:10.1161/01.str.9.2.137
PMID:644606
Abstract

Fifty patients with occlusive cerebrovascular disease (ischemic thrombotic cerebrovascular disease--ITCBVC) were studied for clinical features, angiographic findings, serum lipids, platelet functions and fibrinolytic activity. Angiograms were abnormal in 24 of 36 cases. Two-thirds of these had an abnormality of the internal carotid artery in the neck; one-third had occlusion of the middle and/or anterior cerebral arteries. A statistically significant rise of serum triglycerides, pre-beta lipoproteins, platelet adhesiveness and aggregation, and a decrease in fibrinolytic activity were noticed in these patients as compared to age and sex matched controls. The correlation coefficient did not show any intercorrelation between the platelet adhesiveness and raised lipid fractions. These factors could be responsible for the atheroma resulting in large vessel occlusion.

摘要

对50例闭塞性脑血管疾病(缺血性血栓性脑血管疾病——ITCBVC)患者进行了临床特征、血管造影结果、血脂、血小板功能和纤溶活性的研究。36例患者中24例血管造影异常。其中三分之二患者颈部颈内动脉异常;三分之一患者大脑中动脉和/或大脑前动脉闭塞。与年龄和性别匹配的对照组相比,这些患者血清甘油三酯、前β脂蛋白、血小板黏附性和聚集性有统计学意义的升高,纤溶活性降低。血小板黏附性与升高的脂质成分之间的相关系数未显示任何相互关系。这些因素可能是导致大血管闭塞的动脉粥样硬化的原因。

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引用本文的文献

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Risk factors of stroke in Western and Asian countries: a systematic review and meta-analysis of prospective cohort studies.西方国家和亚洲国家中风的危险因素:前瞻性队列研究的系统评价和荟萃分析
BMC Public Health. 2014 Jul 31;14:776. doi: 10.1186/1471-2458-14-776.
2
Circulating platelet aggregates: a chronic platelet activation in patients with transient ischaemic attacks.循环血小板聚集体:短暂性脑缺血发作患者的慢性血小板激活。
Ital J Neurol Sci. 1980 Jun;1(3):163-9. doi: 10.1007/BF02335846.
3
Brain infarction and hemorrhage in young and middle-aged adults.
中青年人群中的脑梗死与脑出血
West J Med. 1984 Sep;141(3):329-34.
4
[Persistent changes in tissue-type plasminogen activator and plasminogen activator inhibitor fibrinolytic parameters in patients following juvenile ischemic cerebral infarct].[青少年缺血性脑梗死患者组织型纤溶酶原激活物和纤溶酶原激活物抑制剂纤溶参数的持续变化]
Klin Wochenschr. 1988 Nov 15;66(22):1110-5. doi: 10.1007/BF01727845.