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[晚期妊娠中毒症的纤维蛋白溶解疗法——用尿激酶治疗妊娠兔的实验研究]

[Fibrinolytic therapy for toxemia of late pregnancy--experimental studies of pregnant rabbits treated with urokinase].

作者信息

Kano A

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1984 Jan;36(1):72-80.

PMID:6699451
Abstract

The method for dosing with urokinase (UK) during toxemia of pregnancy, now being studied by us with non- and pregnant rabbits has remained unclarified. The kg/body weight doses determined were 2,500, 5,000, 10,000 and 20,000 in each unit, and the following results were obtained from methods A: a rapid injection, and B: a rapid injection of half the volume followed by drip infusion of the remaining half. The following characteristics of both groups tended to resemble each other: (a) The ELT shortening rate was enhanced with A at doses of 2,500 and 5,000 units/kg, and with B at doses of 10,000 and 20,000 units/kg. (b) alpha 2-antipl., and plg., which tended to decrease with A at doses of 2,500 and 5,000 units/kg, decreased with B more than with A when given 20,000 units/kg. (c) An upward peak of serum FDP was seen in A at 5 minutes and in B at 120 minutes after doses of 10,000 and 20,000 units/kg. Changes with platelet count, PT, APTT and Fbg. were not of significance either both group compared in the non-treated rabbits, irrespective of the dose method employed. Thus, the dose amount of UK during pregnancy nearly equivalent to that in non-pregnancy is seen to be required for enhancement of fibrinolytic activity.

摘要

我们目前正在用未怀孕和怀孕的兔子研究妊娠毒血症期间使用尿激酶(UK)的给药方法,但该方法仍未明确。确定的每单位千克体重剂量分别为2500、5000、10000和20000,从方法A(快速注射)和方法B(快速注射一半体积,然后滴注剩余一半)获得了以下结果。两组的以下特征趋于相似:(a)在2500和5000单位/千克剂量下,方法A使ELT缩短率提高,在10000和20000单位/千克剂量下,方法B使ELT缩短率提高。(b)在2500和5000单位/千克剂量下,方法A时α2 - 抗纤溶酶和纤溶酶原趋于降低,在20000单位/千克剂量下,方法B时其降低程度比方法A更大。(c)在10000和20000单位/千克剂量后,方法A在5分钟时血清FDP出现上升峰值,方法B在120分钟时出现上升峰值。在未治疗的兔子中,无论采用何种剂量方法,两组血小板计数、PT、APTT和Fbg的变化均无显著差异。因此,为增强纤溶活性,妊娠期UK的剂量似乎需要与非妊娠期几乎相当。

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