Arends J P, Krediet R T, Boeschoten E W, van der Lelie J, Veenhof C H, von dem Borne A E
Proc Eur Dial Transplant Assoc. 1981;18:280-5.
Mean bleeding time in 11 uraemic patients improved from 11.2 (range 3.5--20) before the 5.8 (range 2.5--20) minutes during CAPD treatment (p less than 0.025). Bleeding time became normal in six out of seven patients with a prolonged bleeding time prior to CAPD. There was a concomitant improvement in platelet aggregation. Mean platelet count rose from 195 (range 117--414) to 311 (148--522) x 10(9)/L (p less than 0.01). A significant correlation was found between the change in bleeding time and in platelet aggregation induced by ristocetin, but not between the change in bleeding time and the platelet count. Our results suggest that CAPD treatment improves the uraemic bleeding tendency, even in patients on previous haemodialysis treatment.
11名尿毒症患者的平均出血时间从腹膜透析治疗前的11.2分钟(范围3.5 - 20分钟)改善至治疗期间的5.8分钟(范围2.5 - 20分钟)(p<0.025)。7名腹膜透析前出血时间延长的患者中有6名出血时间恢复正常。血小板聚集也随之改善。平均血小板计数从195×10⁹/L(范围117 - 414)升至311×10⁹/L(148 - 522)(p<0.01)。出血时间的变化与瑞斯托菌素诱导的血小板聚集变化之间存在显著相关性,但出血时间变化与血小板计数之间无相关性。我们的结果表明,即使是之前接受过血液透析治疗的患者,腹膜透析治疗也能改善尿毒症出血倾向。