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头孢哌酮/舒巴坦钠对凝血功能的影响及处理 被引量:30
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作者 吴斌 戴晓琴 +2 位作者 张春红 邱俏檬 卢中秋 《中国急救医学》 CAS CSCD 北大核心 2013年第3期228-230,共3页
目的探讨头孢哌酮/舒巴坦钠对凝血功能的影响及处理方法。方法回顾性分析本院2008-12~2011~08入住我院的40例经头孢哌酮/舒巴坦钠治疗后出现凝血功能异常的患者的临床资料,分析其临床特点。结果40例患者平均年龄(63.8±18.... 目的探讨头孢哌酮/舒巴坦钠对凝血功能的影响及处理方法。方法回顾性分析本院2008-12~2011~08入住我院的40例经头孢哌酮/舒巴坦钠治疗后出现凝血功能异常的患者的临床资料,分析其临床特点。结果40例患者平均年龄(63.8±18.7)岁,其中男性27例(67.5%),女性13例(32.5%)。原发病以肺部感染最多见,其次为下肢蜂窝织炎、肠梗阻、急性感染性心内膜炎等。应用头孢哌酮/舒巴坦钠6.0~9.0g/d3~12d后发现凝血功能异常,PTT(24.1±14.5)s,SPTT(53.0±24.0)S,INR1.70±0.90,均较用药前明显升高(P〈0.05或P〈0.01),血小板计数无明显变化(P〉0.05),部分患者出现皮肤淤斑、消化道出血及血尿等临床表现,加用维生素K1干预治疗后胛较前明显缩短(P〈0.05),APTT、INR有所缩短,但差异无统计学意义(P〉0.05)。结论常规剂量头孢哌酮/舒巴坦钠对部分患者凝血功能有一定影响,尤其老年、纳差患者在应用头孢哌酮/舒巴坦钠治疗3d后需常规监测出凝血时间,警惕出血征象。用头孢哌酮/舒巴坦钠后出现凝血功能异常者加用小剂量维生素K1治疗可明显改善凝血功能。 展开更多
关键词 头孢哌酮 舒巴坦钠 维生素K1 凝血酶原时(PT) 活化部分凝血酶时 (aptt) 国际标准化比值(INR) 血小板计数
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Chemical Characteristics and Anticoagulant Activities of Two Sulfated Polysaccharides from Enteromorpha linza (Chlorophyta)
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作者 QI Xiaohui MAO Wenjun +4 位作者 CHEN Yin CHEN Yanli ZHAO Chunqi LI Na WANG Chunyan 《Journal of Ocean University of China》 SCIE CAS 2013年第1期175-182,共8页
Two sulfated polysaccharides, designated MP and SP, were extracted from the marine green alga Enteromorpha linza using hot water and then purified using ion-exchange and size-exclusion chromatography. The anticoagulan... Two sulfated polysaccharides, designated MP and SP, were extracted from the marine green alga Enteromorpha linza using hot water and then purified using ion-exchange and size-exclusion chromatography. The anticoagulant activities of MP and SP were examined by determination of their activated partial thromboplastin time (APTT), thrombin time (TT) and prothrombin time (PT) using human plasma. Results showed that MP and SP were composed of abundant rhamnose with small amounts of xylose and glucuronic acid, whereas SP also contained a small amount of galactose. Approximate molecular weights of MP and SP were 535 and 502 kDa, respectively. As compared with SP, MP had higher contents of sulfate ester (19.0%) and uronic acid (14.9%). The MP mainly consisted of (1→4)-linked rhamnose residues with partially sulfated groups at the C-3 position, and small amounts of (1→3, 4)-linked rhamnose, (1→2,4)-linked rhamnose, (1→4)-linked glucuronic acid and (1→4)-linked xylose residues. The SP contained abundant (1→4)-linked rhamnose with minor amounts of (1→3)-linked rhanmose, (1→3, 4)-linked rhamnose, (1→2, 4)-linked rhanmose, (1→4)4inked glucuronic acid, (1→4)-linked xylose, and (1→3)-linked galactose residues. The sulfate groups were mainly located at C-3 of (1→4)-linked rhamnose residues. Both MP and SP, in particular the former, effectively prolonged APTT and TT. This work demonstrates that MP and SP have unique structural characteristics distinct from those of other sulfated polysaccharides from Enteromorpha. The MP is a potential source of anticoagulant, and the difference in anticoagulant activities of the two sulfated polysaccharides is directly linked to the discrepancy of their chemical features. 展开更多
关键词 Marine green alga Enteromorpha linza sulfated polysaccharide chemical characteristic anticoagulant activity
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