Calabrese S, Giansante C, Sammartini C, Benedetti A
Minerva Med. 1984 Apr 28;75(18):1047-52.
Twenty eight patients affected by liver cirrhosis were studied in comparison with 44 control subjects, matched for age. The following parameters were carried out: a) platelet aggregation (by Born's method) induced by increasing concentrations of ADP and epinephrine; b) PF3 ( Spaet - Cintron method) and antithrombin III, aPTT, prothrombin ratio, fibrinogen, platelet count. Platelet aggregation and availability of PF3 are lower in cirrhotic patients, suggesting an intrinsic defect of platelets. Moreover prolongation of aPTT and prothrombin ratio, lower levels of antithrombin III, fibrinogen and platelet count were detected.
对28例肝硬化患者进行了研究,并与44例年龄匹配的对照受试者进行比较。进行了以下参数检测:a)通过增加ADP和肾上腺素浓度诱导的血小板聚集(采用博恩方法);b)PF3(斯佩特-辛特龙方法)、抗凝血酶III、活化部分凝血活酶时间、凝血酶原比率、纤维蛋白原、血小板计数。肝硬化患者的血小板聚集和PF3可用性较低,提示血小板存在内在缺陷。此外,还检测到活化部分凝血活酶时间和凝血酶原比率延长、抗凝血酶III、纤维蛋白原水平降低以及血小板计数减少。