Dechavanne M, Lagarde M, Bryon P A
Nouv Rev Fr Hematol (1978). 1976;16(3):421-6.
In four patients, platelet aggregation with arachidonate was absent but was normal with "Labile Aggregation Stimulating Substance". ADP (10muM) aggregation was always reversible; collagen aggregation was absent and those induced by thrombin and ristocetin were normal. Collagen did not induce 14C-serotonin release but there was some release with thrombin. There was no thromboxan B2 synthesis in these platelets. Two patients showed hereditary hemostasis defect and the others acquired cyclo-oxygenase deficiency.
4例患者对花生四烯酸的血小板聚集反应缺失,但对“不稳定聚集刺激物质”的反应正常。ADP(10μM)诱导的聚集反应总是可逆的;对胶原无聚集反应,对凝血酶和瑞斯托霉素诱导的聚集反应正常。胶原不诱导14C-5-羟色胺释放,但凝血酶可诱导一定程度的释放。这些血小板中无血栓素B2合成。2例患者表现为遗传性止血缺陷,其他患者为获得性环氧化酶缺乏。