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[血小板功能活性紊乱对阿司匹林诱发哮喘患者肺微循环状态及外呼吸功能的影响]

[The effect of disorders of thrombocyte functional activity on the microcirculatory status in the lungs and on external respiratory function in patients with aspirin-induced asthma].

作者信息

Petrishchev N N, Fedoseev G V, Evsiukova E V, Amosov V I, Sinitsyna T M, Amoashiĭ G S

出版信息

Ter Arkh. 1993;65(3):12-5.

PMID:8059372
Abstract

Platelet aggregation, pulmonary microcirculation and external respiration were studied against clinical appearance of the disease in 20 patients with aspirin-sensitive asthma (ASA) and 10 asthmatics without aspirin intolerance. All ASA patients were found to exhibit higher intensity and rate of platelet aggregation induced by ATP and heparin. Capillary pulmonary circulation in them was decreased 2-fold compared to nonaspirin asthma patients. All ASA cases had obstructive impairment of pulmonary ventilation in peripheral bronchi. The more serious were defects in platelet function, the more significant were microcirculatory and external respiratory alterations in ASA. Thus, it is evident that changes in platelet function play an important role in the genesis of pulmonary microcirculation and external respiration affections in ASA patients.

摘要

对20例阿司匹林敏感性哮喘(ASA)患者和10例无阿司匹林不耐受的哮喘患者,针对疾病的临床表现,研究了血小板聚集、肺微循环和外呼吸情况。发现所有ASA患者由ATP和肝素诱导的血小板聚集强度和速率更高。与非阿司匹林哮喘患者相比,他们的肺毛细血管循环减少了两倍。所有ASA病例在外周支气管均有阻塞性肺通气障碍。血小板功能缺陷越严重,ASA患者的微循环和外呼吸改变就越显著。因此,很明显血小板功能变化在ASA患者肺微循环和外呼吸病变的发生中起重要作用。

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