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肝硬化出血倾向的研究。

Studies on hemorrhagic tendency in cirrhosis of the liver.

作者信息

Yoshimura R, Asai H, Harihara S, Kamata T, Monna T, Yamamoto S, Fukuda T, Maeda H

出版信息

Gastroenterol Jpn. 1979 Aug;14(4):353-65. doi: 10.1007/BF02774233.

Abstract

Recently it has been paid attention whether the liver diseases might induce the disseminated intravascular coagulation (DIC) or not, although it has well known that liver cirrhosis contribute to the hemorrhagic diathesis. In this paper, we studied on the hemorrhagic tendency and hemostatic tests in the patients with liver cirrhosis in order to clarify the coagulation and fibrinolytic activity. We can conclude that the hemorrhagic diathesis occurs due to the complex of decreases in platelet number, platelet functions, clotting factors, and increased fibrinolytic activity. The increased fibrinolytic activity may be primary and the frequency of clinically important DIC is quite low.

摘要

最近,尽管肝硬化会导致出血素质已广为人知,但肝脏疾病是否会引发弥散性血管内凝血(DIC)受到了关注。在本文中,我们对肝硬化患者的出血倾向和止血试验进行了研究,以阐明凝血和纤溶活性。我们可以得出结论,出血素质是由于血小板数量减少、血小板功能异常、凝血因子减少以及纤溶活性增加共同作用所致。纤溶活性增加可能是原发性的,临床上重要的DIC发生率相当低。

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