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阻塞性黄疸患者血液高凝状态探讨

An Analysis of the Blood Hypercoagulative State in Obstructive Jaundice Patients

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【作者】 过建工汤宁泉徐志成

【Author】 GUO Jian_gong, TANG Ning_quan, XU Zhi_chen(Dep’t Surgery, Wuxi No. 4 People’s Hospital, Wuxi Jiangsu 214063,China)

【机构】 无锡市第四人民医院外科!江苏无锡214062

【摘要】 通过检测15例OJ患者手术引流前及引流后第2、5、10日血浆中抗凝物质蛋白C(PC) ,凝血因子vW因子 (vWF)及血小板颗粒膜蛋白 (GMP-140)的含量变化。结果表明术前PC水平OJ组较对照组明显降低(P<0.05)。vWF及GMP-140明显增高(P<0.05)。术后vWF及GMP -140随PC的上升而下降并渐恢复到正常。OJ患者血液呈高凝状态 ,与肝损害、内毒素血症有关。及早胆道引流有助于消除高凝状态及相应并发症的发生

【Abstract】 Fifteen obstructive jaundice patients’ plasma levels of anticoagulative substance protein C(PC), coagulative factor vW factor(vWF) and platellete particle membrane protein(GMP-140).Are measured and compared. The result indicates that before the operation, the PC level is significantly lower(P<0.05),while the vWF and GMP-140 are higher(P<0.05). After the biliary drainage, with the PC level increasing, the vWF and GMP-140 levels rise to normal. These findings seem to lead to the conclusion that the hypercoagulative state of OJ patient is related to liver damage and endotoxemia and early biliary drainage is favarable to the elimination of the hypercoagulative state and the related complieations.

  • 【文献出处】 江南学院学报 ,JOURNAL OF JIANGNAN COLLEGE , 编辑部邮箱 ,2000年02期
  • 【分类号】R363
  • 【被引频次】1
  • 【下载频次】33
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