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通过静脉注射凝血酶 - 肝素混合物在体内消耗抗凝血酶III的尝试。

In vivo attempt to consume antithrombin III by i.v. injection of a thrombin-heparin mixture.

作者信息

Soulier J P, Gozin D, Lerable J

出版信息

Thromb Res. 1984 May 1;34(3):255-62. doi: 10.1016/0049-3848(84)90009-4.

DOI:10.1016/0049-3848(84)90009-4
PMID:6729779
Abstract

15 rabbits and 6 dogs were injected with a mixture of thrombin and heparin. Increasing amounts of thrombin, and various ratio of thrombin in relation to heparin, were used. It was found that huge amounts of thrombin could be perfused, under the protection of heparin, without untoward effects. But the high amount of thrombin needed to obtain a 50% reduction of the circulating AT III required a corresponding high amount of protective heparin. Since the secondary injection of protamin sulphate (after the end of the perfusion with the thrombin-heparin mixture) was precipitating the DIC syndrome, such attempts to decrease AT III in man are not feasible.

摘要

给15只兔子和6只狗注射了凝血酶和肝素的混合物。使用了不断增加剂量的凝血酶以及凝血酶与肝素的各种比例。结果发现,在肝素的保护下,可以灌注大量凝血酶而无不良影响。但是,要使循环中的抗凝血酶III减少50%所需的高剂量凝血酶需要相应高剂量的保护性肝素。由于在(用凝血酶-肝素混合物灌注结束后)二次注射硫酸鱼精蛋白会引发弥漫性血管内凝血综合征,因此在人体中降低抗凝血酶III的此类尝试不可行。

相似文献

1
In vivo attempt to consume antithrombin III by i.v. injection of a thrombin-heparin mixture.通过静脉注射凝血酶 - 肝素混合物在体内消耗抗凝血酶III的尝试。
Thromb Res. 1984 May 1;34(3):255-62. doi: 10.1016/0049-3848(84)90009-4.
2
[Protamine complexes with antithrombin III and heparin].
Acta Haematol Pol. 1982 Jan-Jun;13(1-2):25-8.
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Effect of heparin, hirudin, and a synthetic thrombin inhibitor on antithrombin III in thrombin-induced disseminated intravascular coagulation in rats.肝素、水蛭素及一种合成凝血酶抑制剂对大鼠凝血酶诱导的弥散性血管内凝血中抗凝血酶III的影响。
Haemostasis. 1987;17(6):321-8. doi: 10.1159/000215764.
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Tissue thromboplastin induced reversible DIC and heparin-enhanced inhibitors in dogs.
Thromb Haemost. 1986 Feb 28;55(1):78-85.
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Influence of hirudin on the consumption of antithrombin III in experimental DIC.水蛭素对实验性弥散性血管内凝血中抗凝血酶III消耗的影响。
Folia Haematol Int Mag Klin Morphol Blutforsch. 1988;115(1-2):83-7.
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In-vitro and ex-vivo neutralizing effect of protamine sulphate on the anticoagulant activity of a new low molecular mass heparin.硫酸鱼精蛋白对一种新型低分子质量肝素抗凝活性的体外及离体中和作用
Thromb Res. 1998 Jan 15;89(2):79-83. doi: 10.1016/s0049-3848(97)00294-6.
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Normal antithrombin-III activity and concentration in experimental disseminated intravascular coagulation.实验性弥散性血管内凝血中抗凝血酶III的正常活性和浓度
Scand J Clin Lab Invest Suppl. 1985;178:107-13.
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Comparative effects of heparin and LMW heparin on hemostasis.肝素与低分子量肝素对止血的比较作用。
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Anticoagulating and non-enzymatic fibrinolytic activities of heparin-antithrombin III and antithrombin III-heparin-thrombin complexes in vitro and in vivo.肝素-抗凝血酶III和抗凝血酶III-肝素-凝血酶复合物在体外和体内的抗凝及非酶促纤维蛋白溶解活性
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Effects of low molecular weight heparin on a severely antithrombin III-decreased disseminated intravascular coagulation model in rabbits.低分子量肝素对兔抗凝血酶III严重降低的弥散性血管内凝血模型的影响。
Thromb Res. 1995 Dec 1;80(5):391-8. doi: 10.1016/0049-3848(95)00191-s.

引用本文的文献

1
Clearance of thrombin in vivo: significance of alternative pathways.体内凝血酶的清除:替代途径的意义
Mol Cell Biochem. 1986 Aug;71(2):97-105. doi: 10.1007/BF00214768.