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25例血小板无力症基础和临床分析

Retrospective study on 25 patients with glanzmann thrombasthenia

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【作者】 陈方平周伯通解勤之谭柏林赵谢兰蹇在伏李学渊曹萍曹励之梁莉林平尔

【Author】 CHEN Fang ping 1 Zhou Bo tong 1 Xie Qin zhi 1 Tan Bai lin 1 ZHAO Xie lan 1 JIAN Zai fu 1 LI Xue yuan 1 CAO Ping 1 CAO Li zhi 2 LIANG Li 2 LIN Ping er 3 ( 1Department of Hematology,Xiang Ya Hospital,Hunan Medical University,

【机构】 湖南医科大学湘雅医院血液科!长沙410008湖南医科大学湘雅医院?

【摘要】 目的:探讨中国人血小板无力症患者的临床和病理特点。方法:分析了25 例血小板无力症的临床表现、代偿机制、实验室检查、分子基础、治疗和预防措施。结果:25 例血小板无力症患者Ⅰ型20 例,Ⅱ型2 例,变异型3 例,已鉴定出血小板膜糖蛋白GPⅡb,Ⅲa 基因6 种类型分子缺陷,包括错义突变、无义突变、剪接点突变和小片段DNA丢失。结论:出血症状严重程度和分子缺陷之间无明显关系。

【Abstract】 Objective:To investigate clinical and pathological features in chinese patients with Glanzmann thrombasthenia.Method:Data of 25 GT patients were retrospectively studied,including clinical demonstration,lab findings,possible compensative mechanism,medical treatment and preventing for GT patients.Results:Among 25 patients,20 were classified as type Ⅰ,2 as type Ⅱ and 3 as variant GT patients.6 different kinds of molecular defects of platelet GP Ⅱb,Ⅲa genes were identified,which included missense mutation,non sense mutation,splice site mutation and deletion of small fragment DNA.Conclusion:There was no correlation between the type of molecular defect and the severity of hemorrhage.

【基金】 湖南省自然科学基金
  • 【文献出处】 临床血液学杂志 ,JOURNAL OF CLINICAL HEMATOLOGY , 编辑部邮箱 ,2000年01期
  • 【分类号】R558
  • 【被引频次】14
  • 【下载频次】187
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