Tobelem G
J R Coll Physicians Lond. 1976 Jul;10(4):399-407.
The factors involved in arterial thrombosis include the endothelial and subendothelial cells of the arterial wall, platelets and other blood cells, plasma factors and blood flow. An arterial thrombus arises from an interaction between platelets and the subendothelium (basement membrane and microfibrils) which has been shown by recent experiments to have a thrombogenic propensity. The particular structure of the subendothelium and its glycoprotein membrane receptors for platelets is implicated on thrombogenesis which requires the intervention of von Willebrand's factor; the well-known role of collagen is also important. An arterial thrombosis may evolve into a mural thrombus or may spread or form an embolus.
动脉血栓形成涉及的因素包括动脉壁的内皮细胞和内皮下细胞、血小板及其他血细胞、血浆因子和血流。动脉血栓是由血小板与内皮下层(基底膜和微原纤维)之间的相互作用引发的,最近的实验表明内皮下层具有血栓形成倾向。内皮下层的特殊结构及其血小板糖蛋白膜受体与血栓形成有关,这一过程需要血管性血友病因子的参与;胶原蛋白的作用也十分重要。动脉血栓可能发展为壁血栓,也可能扩散或形成栓子。