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比格犬实验性利什曼病中止血障碍的研究

Study of haemostatic disorders in experimentally induced leishmaniasis in Beagle dogs.

作者信息

Valladares J E, Ruiz De Gopegui R, Riera C, Alberola J, Gállego M, Espada Y, Portús M, Arboix M

机构信息

Departament de Farmacologia i Terapèutica, Facultat de Veterinària, Universitat Autònoma de Barcelona, Spain.

出版信息

Res Vet Sci. 1998 May-Jun;64(3):195-8. doi: 10.1016/s0034-5288(98)90124-2.

Abstract

Haemostatic alterations in dogs experimentally infected with Leishmania infantum were studied before and after therapy with meglumine antimonate. Haemostatic function tests including platelet count, collagen-induced platelet aggregation, prothrombin time, activated partial thromboplastin time, thrombin time, plasma fibrinogen determination, and serum fibrinogen/fibrin degradation products concentration were performed. In the course of infection and before treatment, moderate thrombocytopenia (P<0.00001), decreased collagen induced platelet aggregation (P=0.0003), prolonged thrombin time (P=0.0117) and increased fibrinogen/fibrin degradation products were observed. Statistically significant differences of plasma fibrinogen concentration, prothrombin time, and activated partial thromboplastin time were not encountered. Haemostatic parameters returned to normal values after therapy. The results indicate that Leishmania infection may impair haemostasis suggesting induction of disseminated intravascular coagulation (DIC), and that treating dogs in an early stage of infection may potentially avoid the possibility of developing an uncompensated DIC.

摘要

对实验感染婴儿利什曼原虫的犬在使用葡甲胺锑酸盐治疗前后的止血改变进行了研究。进行了包括血小板计数、胶原诱导的血小板聚集、凝血酶原时间、活化部分凝血活酶时间、凝血酶时间、血浆纤维蛋白原测定以及血清纤维蛋白原/纤维蛋白降解产物浓度在内的止血功能测试。在感染过程中及治疗前,观察到中度血小板减少(P<0.00001)、胶原诱导的血小板聚集减少(P=0.0003)、凝血酶时间延长(P=0.0117)以及纤维蛋白原/纤维蛋白降解产物增加。未发现血浆纤维蛋白原浓度、凝血酶原时间和活化部分凝血活酶时间有统计学显著差异。治疗后止血参数恢复到正常水平。结果表明,利什曼原虫感染可能损害止血功能,提示诱导弥散性血管内凝血(DIC),并且在感染早期治疗犬可能潜在地避免发展为失代偿性DIC的可能性。

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