LeBeau B
Service de pneumologie, Hôpital Saint-Antoine, Paris.
Rev Mal Respir. 1996;13(1):21-6.
Biological data and several experimental works have shown evidence of the important relationship that exists between the development of the neoplastic process and phenomena linked to blood coagulation. This relationship would appear particularly important in small cell bronchopulmonary cancer. Several therapeutic trials are attached to confirming in vivo the hopes furnished by the series on the mechanism of thrombosis in associating chemotherapy with coagulation therapy. If Aspirin used in a dose for anti-platelet aggregation is revealed as being insufficient then anti-Vitamin K and standard Heparin have brought an undeniable benefit to the level of response and survival in phase three randomised trials. Urokinase also brings a promising improvement in an open phase two trial but has to be confirmed.
生物学数据和一些实验研究已证明肿瘤形成过程的发展与凝血相关现象之间存在重要关系。这种关系在小细胞支气管肺癌中似乎尤为重要。多项治疗试验旨在通过体内实验证实将化疗与凝血治疗相结合在血栓形成机制方面所带来的希望。如果用于抗血小板聚集的阿司匹林剂量被证明不足,那么在三期随机试验中,抗维生素K和标准肝素在反应水平和生存率方面带来了不可否认的益处。在一项开放的二期试验中,尿激酶也带来了有前景的改善,但仍有待证实。