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[多种快速测定纤维蛋白原转化产物方法在血管内凝血与纤维蛋白溶解诊断中的比较研究]

[Comparative study of various rapid methods of determining fibrinogen transformation products in the diagnosis of intravascular coagulation and fibrinolysis].

作者信息

Lychev V G, Momot A P, Cherkashin G V

出版信息

Ter Arkh. 1984;56(6):106-9.

PMID:6474366
Abstract

Rapid methods for determination of fibrin-monomer complexes and fibrinogen/fibrin degradation products were studied and compared in 76 patients with different abnormalities in the hemostatic system (acute thromboses, thromboembolism of the pulmonary artery, disseminated intravascular coagulation, immune thrombovasculitis, etc). The control group consisted of 36 healthy donors. The fibrin-monomer complexes were determined by the paracoagulation tests, the ethanol test (ET) and protamin sulfate tests (PST), whereas fibrinogen/fibrin degradation products (FDP) by the staphylococcus adhesion test (SAT) in which use was made of the Newman D2S strain variety obtained by the authors. It is inferred that the ET, PST and SAT are the most suitable for use in clinical medicine, since they are accessible, simple and quick in performance. However, these tests cannot be regarded as similar or interchangeable, since they are used for studying different products of the coagulation and fibrinolytic transformation of fibrinogen.

摘要

对76例止血系统存在不同异常情况(急性血栓形成、肺动脉血栓栓塞、弥散性血管内凝血、免疫性血栓性血管炎等)的患者,研究并比较了测定纤维蛋白单体复合物和纤维蛋白原/纤维蛋白降解产物的快速方法。对照组由36名健康献血者组成。采用副凝试验、乙醇试验(ET)和硫酸鱼精蛋白试验(PST)测定纤维蛋白单体复合物,而采用作者获得的纽曼D2S菌株变种进行葡萄球菌黏附试验(SAT)测定纤维蛋白原/纤维蛋白降解产物(FDP)。据推断,ET、PST和SAT最适合用于临床医学,因为它们操作简便、快捷且易于实施。然而,这些试验不能被视为相似或可相互替代的,因为它们用于研究纤维蛋白原凝血和纤溶转化的不同产物。

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