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[溶栓制剂治疗急性心肌梗死中的血液激肽系统]

[Blood kinin system in acute myocardial infarct treated with thrombolytic preparations].

作者信息

Andreenko G V, Suvorov A V, Bessolitsyna L A, Sargin K E

出版信息

Kardiologiia. 1977 Feb;17(2):70-5.

PMID:870742
Abstract

The treatment of patients with acute myocardial infarction by thrombolytic agents affects several indices characterizing the pathological process. The effect of thrombolytic therapy was studied with reference to the activation of the blood kinin system. The data on a activating effect of myocardial infarction upon the state of the kinin sys tem were proved. When thrombolytic agents (streptoliase, streptase and fibrinolysin) and heparin are given, the kinin system is activated still further which clearly correlates with an elevated fibrinolytic activity of the blood. Under fibrinolytic therapy the most sensitive component of the kinin system proves to be kallikreinogen. The possible effect of the activation of the blood kinin system by thrombolytics upon the state of myocardial infarction patients is discussed.

摘要

用溶栓剂治疗急性心肌梗死患者会影响表征病理过程的几个指标。参照血液激肽系统的激活情况研究了溶栓治疗的效果。心肌梗死对激肽系统状态的激活作用的数据得到了证实。当给予溶栓剂(链激酶、链道酶和纤维蛋白溶酶)和肝素时,激肽系统会进一步激活,这与血液中纤维蛋白溶解活性升高明显相关。在溶栓治疗下,激肽系统最敏感的成分被证明是激肽释放酶原。讨论了溶栓剂激活血液激肽系统对心肌梗死患者状态可能产生的影响。

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