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新生儿抗凝血因子的测定及其临床意义
The Measures and the Clinic Meanings of CoagulationInhibitors in Neonate
【摘要】 目的了解正常新生儿生理性抗凝血因子的水平,为临床和研究工作提供参考数据。方法抽取正常足月顺产新生儿脐血及健康成人外周静脉血,分别测定抗凝血酶(antithrombin,AT)、蛋白C(protein C,PC)、组织因子途径抑制物(tissue factor pathway inhibitor,TFPI)的活性和含量,α2巨球蛋白(α2-Macroglobulin,α2-MG)的含量,并与成人进行比较。结果新生儿脐血中AT、PC、TFPI的含量和活性均显著低于正常成人水平(P<0.05)。α2-MG的水平与正常成人相比差异无显著性(P>0.05)。结论新生儿生理性抗凝血因子处于一个较低的水平,α2-MG正常可能是一种代偿机制。在新生儿出血性疾病的诊断及抗凝剂的应用中应引起注意。
【Abstract】 Objective To investigate the test results of blood anticoagulant in healthy newborns to pro- vide reference data for clinic and research.Methods Activities of antithrombin(AT),protein C(PC),tis- sue factor pathway inhibitor(TFPI)and changes of AT,PC,TFPI andα2-macroglobulin(α2-MG),were measured in healthy neonates and in healthy adults.Results Compared with healthy adults,activities of AT,PC,TFPI and changes of AT,PC and TFPI were significant lower(P<0.05).Change ofα2-MG was lower slightly(P>0.05).Conclusion Anticoagulant functions were at a lower level and the level ofα2-MG maybe one saving mechanism which provides a information for diagnoses of neonatal hemorrhagic diseases and use of anticoagulant in clinic.
- 【文献出处】 血栓与止血学 ,Chinese Journal of Thrombosis and Hemostasis , 编辑部邮箱 ,2006年06期
- 【分类号】R722.1
- 【被引频次】3
- 【下载频次】67