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复合伤的研究,第28篇通讯:辐射及复合伤引起的止血平衡紊乱(作者译)

[Investigations of combined injuries, 28th communication: Troubles of hemostatic equilibrium arising from radiation and combined injuries (author's transl)].

作者信息

Boegelein K, Reichenbach-Klinke K E, Messerschmidt O

出版信息

Strahlentherapie. 1980 Jun;156(6):430-6.

PMID:7423569
Abstract

In female mice the influence of total-body irradiation combined with excision of skin on the blood-clotting system was examined. Whereas the general tests of plasmatic coagulation showed no significant change, a biphasic course of coagulation disturbances in thrombelastography and euglobulin-clot-lysis following combined radiation injury was found. During the first time a pronounced increase of coagulability appeared, followed by the development of a hypocoagulability due to thrombocytopenia and functional disturbances of blood platelets. In this hemorrhagic period the euglobulin-clotlysis time was accelerated, but only after combined injury. Possible reasons are discussed.

摘要

在雌性小鼠中,研究了全身照射联合皮肤切除对血液凝固系统的影响。虽然血浆凝血的常规检测未显示出显著变化,但在联合辐射损伤后的血栓弹力图和优球蛋白凝块溶解试验中发现了凝血紊乱的双相过程。在最初阶段,凝血能力显著增加,随后由于血小板减少和血小板功能障碍而出现低凝状态。在这个出血期,优球蛋白凝块溶解时间加快,但仅在联合损伤后出现。文中讨论了可能的原因。

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