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真性红细胞增多症和原发性血小板增多症中与温度相关的自发性血小板聚集:一项诊断标准

[Temperature-dependent spontaneous platelet aggregation in polycythemia vera and primary thrombocythemia: a diagnostic criterion].

作者信息

Fröhli P, Streuli R, Rhyner K

出版信息

Klin Wochenschr. 1984 May 2;62(9):412-6. doi: 10.1007/BF01742298.

DOI:10.1007/BF01742298
PMID:6727282
Abstract

In twenty patients suffering from myeloproliferative syndromes (nine with polycythaemia vera, 11 with primary thrombocythaemia) platelet aggregation was tested following incubation of blood samples at 4 degrees C, room temperature, 30 degrees C and 37 degrees C. A spontaneous platelet aggregation following incubation at room temperature took place in 65% of patients with primary thrombocythaemia. At the two higher temperatures, positive results were seen in 72% and 92% of cases, respectively. Seven of nine patients (78%) showed a pathological spontaneous platelet aggregation at room temperature. Pathological spontaneous platelet aggregation at 30 degrees C occurred in eight of nine (89%) cases. The spontaneous platelet aggregation test is a simple method to diagnose primary thrombocythaemia and asymptomatic polycythaemia vera, the sensitivity of which increases considerably following incubation of blood samples at two and three different temperatures.

摘要

对20例骨髓增殖性综合征患者(9例真性红细胞增多症,11例原发性血小板增多症),在4℃、室温、30℃和37℃下孵育血样后检测血小板聚集情况。原发性血小板增多症患者中,65%在室温孵育后出现自发性血小板聚集。在两个较高温度下,分别有72%和92%的病例出现阳性结果。9例患者中有7例(78%)在室温下出现病理性自发性血小板聚集。9例中有8例(89%)在30℃时出现病理性自发性血小板聚集。自发性血小板聚集试验是诊断原发性血小板增多症和无症状真性红细胞增多症的一种简单方法,在血样于两个及三个不同温度下孵育后,其敏感性会显著提高。

相似文献

1
[Temperature-dependent spontaneous platelet aggregation in polycythemia vera and primary thrombocythemia: a diagnostic criterion].真性红细胞增多症和原发性血小板增多症中与温度相关的自发性血小板聚集:一项诊断标准
Klin Wochenschr. 1984 May 2;62(9):412-6. doi: 10.1007/BF01742298.
2
Platelet function in patients with high platelet counts.血小板计数高的患者的血小板功能
Ann Intern Med. 1975 Apr;82(4):506-11. doi: 10.7326/0003-4819-82-4-506.
3
Circulating erythroid and megakaryocytic progenitors in polycythaemia vera and essential thrombocythaemia.真性红细胞增多症和原发性血小板增多症中循环的红系和巨核系祖细胞
Eur J Haematol. 1989 Nov;43(5):417-22. doi: 10.1111/j.1600-0609.1989.tb00329.x.
4
A hitherto undescribed defect of platelet coagulant activity in polycythaemia vera and essential thrombocythaemia.真性红细胞增多症和原发性血小板增多症中一种迄今未被描述的血小板凝血活性缺陷。
Thromb Res. 1979;16(5-6):795-802. doi: 10.1016/0049-3848(79)90222-6.
5
Reduced platelet factor X-activating activity: a possible contribution to bleeding complications in polycythaemia vera and essential thrombocythaemia.血小板因子X激活活性降低:对真性红细胞增多症和原发性血小板增多症出血并发症的可能影响。
Haemostasis. 1981;10(1):37-50. doi: 10.1159/000214385.
6
Spontaneous platelet aggregation in myeloproliferative disorders. A preliminary study.骨髓增殖性疾病中的自发性血小板聚集。一项初步研究。
Acta Haematol. 1973;50(1):25-9. doi: 10.1159/000208325.
7
Characteristic changes in platelet-large cell ratio, lactate dehydrogenase and C-reactive protein in thrombocytosis-related diseases.血小板大细胞比率、乳酸脱氢酶及C反应蛋白在血小板增多相关疾病中的特征性变化。
Acta Haematol. 2007;118(2):84-7. doi: 10.1159/000105167. Epub 2007 Jul 10.
8
Clinical significance of beta-thromboglobulin in patients with high platelet count.
Acta Haematol. 1984;71(1):32-8. doi: 10.1159/000206503.
9
Thrombocytosis, thrombocythaemia and iron deficiency in patients with polycythaemia vera.
Acta Haematol. 1979;62(4):223-8. doi: 10.1159/000207576.
10
Qualitative platelet defect and thrombohaemorrhagic complications in a patient with polycythaemia vera. Case 10.真性红细胞增多症患者的定性血小板缺陷及血栓出血并发症。病例10。
Hamostaseologie. 2003 Aug;23(3):138-43.

本文引用的文献

1
Abnormal aggregation and increased size of platelets in myeloproliferative disorders.骨髓增殖性疾病中血小板的异常聚集与体积增大。
Thromb Haemost. 1980 Jun 18;43(2):127-30.
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Time and temperature dependent changes of ADP - and collagen-induced and "spontaneous" aggregation.
Thromb Res. 1980;19(4-5):621-38. doi: 10.1016/0049-3848(80)90034-1.
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Spectrum of platelet aggregation abnormalities in myeloproliferative diseases.骨髓增殖性疾病中血小板聚集异常的谱
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4
Platelets in myeloproliferative disorders. II. Serotonin uptake and storage: correlations with mepacrine labelled dense bodies and with platelet density.骨髓增殖性疾病中的血小板。II. 5-羟色胺摄取与储存:与米帕林标记的致密体及血小板密度的相关性
Scand J Haematol. 1980 Oct;25(4):289-95.
5
A comparison of methods for the study of platelet hyperfunction in thromboembolic disorders.血栓栓塞性疾病中血小板功能亢进研究方法的比较
Br J Haematol. 1980 Oct;46(2):263-8. doi: 10.1111/j.1365-2141.1980.tb05965.x.
6
Defective platelets in essential thrombocythemia.原发性血小板增多症中的血小板缺陷
Arch Intern Med. 1969 Aug;124(2):135-41.
7
Classification of thrombocytosis based on platelet function tests: correlation with hemorrhagic and thrombotic complications.基于血小板功能测试的血小板增多症分类:与出血和血栓形成并发症的相关性
J Lab Clin Med. 1972 Sep;80(3):385-94.
8
The relationship between platelet aggregation and time interval after venepuncture.血小板聚集与静脉穿刺后时间间隔的关系。
Thromb Diath Haemorrh. 1974 Mar 15;31(1):133-41.
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Abnormalities of platelet function in patients with polycythemia vera.
Cancer Res. 1973 Nov;33(11):2683-7.
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Effect of temperature on ADP-induced platelet aggregation. Its significance in studying anti-aggregating drugs.温度对二磷酸腺苷诱导的血小板聚集的影响。其在抗聚集药物研究中的意义。
Thromb Diath Haemorrh. 1973 Feb 28;29(1):183-9.