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[含三碘的X射线造影剂对实验中血液凝固系统的影响]

[Effect of tri-iodine-containing x-ray contrast substances on the blood coagulation system in an experiment].

作者信息

Druzhinina O I, Sergeev P V, Byshevskiĭ A Sh, Chabanov M K

出版信息

Farmakol Toksikol. 1984 Jul-Aug;47(4):63-5.

PMID:6479314
Abstract

Experiments on white rats were made to examine the time course of hemocoagulation changes induced by intravenous injection of the triiodine-containing radiographic contrast agents, bilignost, verografin, triombrast, iodamide-380. The substances were found to exert a biphasic action: an initial decrease in the total coagulation is replaced by a tendency toward hypercoagulemia. In experiments in vitro, the radiographic contrast agents increased the time of plasma recalcification, the prothrombin time and retarded the thrombin-fibrinogen and thrombin-plasma reactions. Bilignost produced the most marked hypocoagulemia. It is suggested that the direct effects of the drugs on blood coagulation involve a decrease in the total blood coagulation activity.

摘要

对白鼠进行了实验,以研究静脉注射含三碘的放射造影剂必利显影、泛影葡胺、碘肽葡胺、碘酰胺-380所引起的血液凝固变化的时间过程。发现这些物质具有双相作用:最初凝血总量下降,随后出现高凝血症倾向。在体外实验中,放射造影剂延长了血浆复钙时间、凝血酶原时间,并延缓了凝血酶-纤维蛋白原反应和凝血酶-血浆反应。必利显影产生的低凝血症最为明显。提示这些药物对血液凝固的直接作用涉及全血凝固活性的降低。

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