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多发性硬化症的流变学和纤维蛋白溶解研究结果。

Rheological and fibrinolytic findings in multiple sclerosis.

作者信息

Brunetti A, Ricchieri G L, Patrassi G M, Girolami A, Tavolato B

出版信息

J Neurol Neurosurg Psychiatry. 1981 Apr;44(4):340-3. doi: 10.1136/jnnp.44.4.340.

Abstract

Blood viscosity indices, fibrinolytic activity and other serum proteins related to haemocoagulation have been studied in 36 patients with multiple sclerosis. The whole blood viscosity was found to be increased in multiple sclerosis. The increase was caused by a decrease in erythrocyte deformability since plasma viscosity and haematocrit were normal. Plasminogen, fibrinogen and alpha 2 antitrypsin levels were found to be lower than normal. Such alterations were not observed in a group of patients with other non-immunological neurological diseases. In the latter group some coagulation indices were even higher than normal. The higher mean age of the pathological controls could explain the observed levels. The abnormalities observed in multiple sclerosis patients are considered to be a consequence of a non-specific activation of the coagulative system in a chronic immunological disease.

摘要

对36例多发性硬化症患者的血液粘度指标、纤维蛋白溶解活性及其他与血液凝固相关的血清蛋白进行了研究。发现多发性硬化症患者的全血粘度增加。这种增加是由于红细胞变形能力下降所致,因为血浆粘度和血细胞比容正常。发现纤溶酶原、纤维蛋白原和α2抗胰蛋白酶水平低于正常。在一组患有其他非免疫性神经系统疾病的患者中未观察到此类改变。在后一组中,一些凝血指标甚至高于正常。病理对照组较高的平均年龄可以解释观察到的水平。多发性硬化症患者中观察到的异常被认为是慢性免疫性疾病中凝血系统非特异性激活的结果。

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本文引用的文献

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The value of measuring platelet "adhesiveness" in the diagnosis of bleeding diseases.
Am J Clin Pathol. 1973 Sep;60(3):302-8. doi: 10.1093/ajcp/60.3.302.
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Notes on the influence of adrenocorticotrophic hormone on platelet stickiness in multiple sclerosis.
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