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特发性血小板减少性紫癜患者狼疮样抗凝物质检测的意义 被引量:1

Significance of detecting lupus anticoagulant in patients idiopathic thrombocytopenic purpura
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摘要 目的:探讨狼疮样抗凝物质(LA)与特发性血小板减少性紫癜患者(ITP)的关系。方法:采用血浆蝰蛇毒时间(RVVT)测定55例ITP患者及35例正常对照组的LA比值,同时采用发色底物法检测血浆蛋白C活性(PC:A),放射免疫法测定血栓烷B2(TXB2)、6-酮-前列腺素F1α(6-keto-PGF1α)含量及TXB2/6-keto-PGF1α比值。结果:ITP组LA比值、TXB2含量及TXB2/6-keto-PGF1α比值明显高于正常组(P<0.01),PC:A明显低于正常对照组(P<0.01)。结论:LA可导致ITP患者PC:A降低、TXB2/6-keto-PGF1α比值升高,ITP血栓的发生可能与LA比值的增高有关。 Objective:To evaluate the effects of lupus anticoagulant (LA) on idiopathic thrombocytopenic purpura. Methods: In 55 patients with ITP and 35 healthy adults were studied. Russell's viper venom time(RVVT) was used to examine the ratio of LA(LAR) ,and a colorimetric method was used to detect the activity of plasma protein C (PC :A) and radioimmunoassay(RIA) was employed to measure the level of plasma thromboxane B2 ( TXB2 ) and6 - keto - prostaglandin F1α (6 - keto - PGF1α ). Resuits : Compared with the normal group, LAR, TXB2 and TXB2/6 - keto - PGF1α showed significant increase in ITP ( P 〈 0. 01 ). The levels of plasma PC : A in the patients with ITP were significant decrease than those of the normal group PC : A. Conclusion: LA can increase, TXB2 and TXB2/6 - keto - PGF1 and decrease PC : A in patients with ITP, It is suggested that there may be an association between the increase of LAR and the presence of ITP.
出处 《中国卫生检验杂志》 CAS 2008年第7期1395-1396,共2页 Chinese Journal of Health Laboratory Technology
关键词 狼疮抗凝物质 特发性血小板减少性紫癜 蛋白C 血栓烷A2 前列环素 Lupus coagulation inhibitor Idiopathic thrombocytopenic purpura Protein C Thromboxane B2 Prostaglandins
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参考文献11

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