Beliaev A V
Lik Sprava. 1998 Jan-Feb(1):134-7.
With the purpose of assessing the part DIC syndrome has in hemorrhage, blood coagulation system was studied in patients presenting with gastrointestinal hemorrhage. Thrombin, a blood coagulation IIa factor, which is one of the chief markers of DIC syndrome, has been found in great amounts in blood in 50% of cases. But this did not lead to disseminated transformation of fibrinogen to fibrin because of the action of the inhibitor of coagulation during the stage of activation of fibrinogen by thrombin. Antithrombin III had but a minor part in these processes. It is suggested that rise in concentration of thrombin that is not accompanied by formation of disseminated fibrin might be of compensatory and adaptive significance. Another characteristic of blood coagulation system in the patients is depressed plasminolysis, while increase, against this background, in concentration of products of fibrin/fibrinogen degradation that is most common, reflects disturbance in the processes of their elimination from the bloodstream.
为了评估弥散性血管内凝血(DIC)综合征在出血中所起的作用,对出现胃肠道出血的患者的血液凝固系统进行了研究。凝血酶是一种血液凝固IIa因子,是DIC综合征的主要标志物之一,在50%的病例中发现血液中大量存在。但由于在凝血酶激活纤维蛋白原阶段凝血抑制剂的作用,这并未导致纤维蛋白原向纤维蛋白的弥散性转化。抗凝血酶III在这些过程中只起次要作用。有人提出,凝血酶浓度升高而不伴有弥散性纤维蛋白形成可能具有代偿和适应性意义。这些患者血液凝固系统的另一个特征是纤溶作用降低,而在此背景下,最常见的纤维蛋白/纤维蛋白原降解产物浓度增加,反映了它们从血液中清除过程的紊乱。