Hopmeier P
Krankenanstalt Rudolfstiftung, Wien.
Wien Klin Wochenschr. 1996;108(19):599-606.
The discovery of APC resistance and of the factor V Leiden mutation brought a break-through in thrombosis research and has greatly improved our understanding of the pathogenesis of venous thrombosis. In particular, it became obvious that thrombotic disease is the result of multiple factors. However, many clinically relevant questions still remain unanswered: for instance, the individual risk of thrombosis for a gene carrier is difficult to assess, since only some of the factors which may finally lead to thrombosis are presently recognized as such. The functional tests which are in common use today have a number of drawbacks and will soon be replaced by improved methods.
抗凝血酶原蛋白C(APC)抵抗及凝血因子V莱顿突变的发现给血栓形成研究带来了突破,并极大地增进了我们对静脉血栓形成发病机制的理解。尤其明显的是,血栓性疾病是多种因素共同作用的结果。然而,许多临床相关问题仍未得到解答:例如,基因携带者发生血栓形成的个体风险难以评估,因为目前仅识别出了一些最终可能导致血栓形成的因素。当今常用的功能测试存在诸多缺陷,很快将被改进的方法所取代。