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测定活化蛋白C抵抗性对监测外科手术患者血栓前状态的价值

Clinical Value of Inspecting Prethrombotic State by Measuring Activated Protein C Resistance in Operated Patients

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【作者】 门剑龙; 徐凤华; 刘文来; 侯波;

【Author】 MEN Jianlong, XU Fenghua, LIU Wenlai, et al Clinical Lab, Tianjin Medical University Hospital, Tianjin 300052

【机构】 天津医科大学总医院临床检验科; 天津医科大学总医院临床检验科骨科 300052; 300052;

【摘要】 目的:探讨活化蛋白C抵抗性(APCR)对患者手术前后血栓前状态的影响及测定活化蛋白C的临床价值。方法:采用SLT SPECTRA酶标仪以ELISA法测定纤维蛋白肽A(FPA)、凝血酶原片段1+2(F1+2)、可溶性纤维蛋白单体复合物(SFMC)、蛋白C抗原(PC:Ag)。采用CA-530凝血仪测定APCR、蛋白C活性(PC:A)。结果:APCR阳性的患者组手术前及手术后凝血系统的活化程度均显著高于APCR正常的患者组的同期水平。结论:手术患者术前测定APCR对判断术后血栓形成倾向具有重要价值。

【Abstract】 Objective: To study the effect of activated protein C resistance (APCR) on prethrombotic state and its clinical value. Methods: Fibrin peptide A (FPA), prethrombin fragment l + 2(Fl + 2), soluble fibrin monomer complex (SFMC) , and protein C antigen (PC: Ag) were measured by enzyme-linked immunoassay (ELISA). APCR and PC: A were measured using CA-530 coagulation analyzer. Results: The activated state of coagulation system in APCR positive group was higher than that in APCR normal group before and after the operation. Conclusion: Preoperative examination of APCR is important for patients receiving the operation.

  • 【文献出处】 天津医药 ,Tianjing Medical Journal , 编辑部邮箱 ,2001年06期
  • 【分类号】R619
  • 【被引频次】4
  • 【下载频次】48
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