期刊文献+
共找到845篇文章
< 1 2 43 >
每页显示 20 50 100
OBSERVATION OF MEGAKARYOCYTOPOIESIS IN HUMAN FETUS BY IMMUNOCYTOCHEMICAL STAINING WITH ANTI-PLATELET GLYCOPROTEIN ⅡB /ⅢA MONOCLONAL ANTIBODY
1
作者 MA Dongchu CHU Junjie SUN Yinghui CHANG Kuizhong ZUO Wei (Department of Experimental Medicine, General Hospital of Shenyang Shenyang, China) Correspondence: Dr. MA Dongchu, Department of Experimental Medicine, General Hospital of Shenyang, 83, Wenhua Road, Shenyang, Liaoning 110015, China. 《中国实验血液学杂志》 CAS CSCD 1994年第2期197-204,共8页
Fetal liver tissues obtained from 28 human fetuses with gestation age from 3 to 6 months and fetal bone marrow from 35 human fetuses from 3 to 7 months were observed by immunochemical staining with anti-platelet GPⅡ ... Fetal liver tissues obtained from 28 human fetuses with gestation age from 3 to 6 months and fetal bone marrow from 35 human fetuses from 3 to 7 months were observed by immunochemical staining with anti-platelet GPⅡ b / Ⅲa monoclonal antibody and ABC technique. In the fetal liver, megakaryocytes were wholly located among growing fetal liver cells and near foci of hemopoiesis. Some megakaryocytes in the fetal liver were small7890- lymphoid-like megakaryocytes. The size of megakaryocytes both in the fetal liver (14.79 ± 4.52μm) and in the fetal bone marrow (16.08±7.39 μm) was small, which did not vary significantly over the gestation age ranging from 3 to 6 or 7 months. However, the maturation stage of megakaryocytes in the fetal liver shifted to more mature stage with the advancement of gestation, although the maturation stage of megakaryocytes in the fetal bone marrow did not change with the advancement of gestation from 4 to 7 months, the megakaryocyte in the fetal bone marrow was less mature 展开更多
关键词 MEGAKARYOCYTE anti- platelet GP b / a monoclonal anti- body immunocytochemical STAINING
下载PDF
Current Role of Platelet Glycoprotein Ⅱ b/Ⅲ a Receptor Inhibitors in Clinical Trials of Cardiovascular Diseases
2
作者 沈迪 《血栓与止血学》 2001年第2期51-52,共2页
Thrombosis formation on disrupted atherosclerotic plaque is the most common acuse of cardiovascular diseases, in the pathophysiology, increased platelet reactivity is a descriptor of the risk of cardiovascular events ... Thrombosis formation on disrupted atherosclerotic plaque is the most common acuse of cardiovascular diseases, in the pathophysiology, increased platelet reactivity is a descriptor of the risk of cardiovascular events in healthy persons and in patients with overt coronary artery disease. Regardless of the stimulus for activation platelet-platelet interation and thrombus formation is ultimately regulated through the GP Ⅱ b/Ⅲ a receptor 展开更多
关键词 血小板GPⅡb 受体抑制剂 临床试验 Gardiovascular病
下载PDF
Clinical Significance of Platelet Activation Glycoproteins GPⅡb/Ⅲa, CD62p and CD63 in Pregnancy- Induced Hypertension
3
作者 WANG Qian SUN Shuyu ZHAN Fengxia 《美国中华健康卫生杂志》 2005年第4期38-41,共4页
关键词 妊娠高血压 血小板活化 GPⅡb/ⅲa CD62P CD63
下载PDF
长期规律运动对老年大鼠血小板表面Ⅱ_b/Ⅲ_a受体密度的影响 被引量:8
4
作者 李玉峰 王士雯 +1 位作者 徐军 赵玉生 《中国康复医学杂志》 CAS CSCD 2001年第3期142-143,共2页
目的 :探讨长期规律运动对老年大鼠血小板表面Ⅱb/Ⅲa 受体密度的影响。方法 :以老年大鼠为研究对象进行有规律的游泳运动训练 ,90min/次 ,5次 /周 ,共 8周。与成年大鼠进行对照 ,测定运动训练前、运动训练 1周、2周、4周、8周及停止训... 目的 :探讨长期规律运动对老年大鼠血小板表面Ⅱb/Ⅲa 受体密度的影响。方法 :以老年大鼠为研究对象进行有规律的游泳运动训练 ,90min/次 ,5次 /周 ,共 8周。与成年大鼠进行对照 ,测定运动训练前、运动训练 1周、2周、4周、8周及停止训练后 2周大鼠血小板表面Ⅱb/Ⅲa 受体密度的变化。结果 :老年大鼠运动训练 1周血小板表面Ⅱb/Ⅲa 受体密度增加 ,运动 2周后血小板表面Ⅱb/Ⅲa 受体密度较运动训练前显著降低。结论 :长期规律运动可导致血小板表面Ⅱb/Ⅲa 受体密度降低 ,可能是运动降低老年动物血小板聚集 ,改善血流状态的原因之一。 展开更多
关键词 运动 血小板表面Ⅱb/ⅲa受体 老年大鼠
下载PDF
房颤患者血小板膜糖蛋白Ⅱ_b/Ⅲ_a受体的变化及意义 被引量:7
5
作者 孙燕淑 祁芸芸 袁家颖 《中国临床医学》 2001年第1期60-61,共2页
目的 :探讨心房纤颤患者血小板膜糖蛋白 (GP)Ⅱb/Ⅲa 受体的变化及其临床意义。方法 :采用全血法流式细胞术(FCM )对 2 2例房颤患者静脉血中GPⅡb/Ⅲa 的含量进行检测 ,并与 2 6例窦性心律者对照。结果 :房颤患者血小板膜GPⅡb/Ⅲa 显... 目的 :探讨心房纤颤患者血小板膜糖蛋白 (GP)Ⅱb/Ⅲa 受体的变化及其临床意义。方法 :采用全血法流式细胞术(FCM )对 2 2例房颤患者静脉血中GPⅡb/Ⅲa 的含量进行检测 ,并与 2 6例窦性心律者对照。结果 :房颤患者血小板膜GPⅡb/Ⅲa 显著高于对照组 (P <0 .0 1) ;房颤患者中的持续房颤组高于阵发房颤组 (P <0 .0 1)。结论 :房颤引起血小板激活 ,激活程度可能与房颤持续时间有关。房颤患者处于血栓前状态。检测GPⅡb/Ⅲa 对评估房颤患者的栓塞危险性及指导抗凝、减少栓塞有重要意义。 展开更多
关键词 房颤 患者 GPⅡb/ⅲa 受体 血小板膜糖蛋白Ⅱb/ⅲa 栓塞 血小板激活 持续 变化 评估
下载PDF
Effect of Xiaoyu Zhixue Tablet (消瘀止血片) on Expression ofPlatelet Membrane Glycoproteins in Patients withHemorrhagic Thrombopathy 被引量:5
6
作者 沈霖 沈迪 +4 位作者 高兰 刘仲萍 杨艳萍 谢晶 周丕琪 《Chinese Journal of Integrated Traditional and Western Medicine》 2004年第3期170-174,共5页
Objective: To observe the effect of Xiaoyu Zhixue tablet (消瘀止血片,XYZXT) on the expression of platelet membrane glycoproteins in patients with hemorrhagic thrombopathy, and to explore its possible mechanism. Method... Objective: To observe the effect of Xiaoyu Zhixue tablet (消瘀止血片,XYZXT) on the expression of platelet membrane glycoproteins in patients with hemorrhagic thrombopathy, and to explore its possible mechanism. Methods: The total of 148 patients with hemorrhagic thrombopathy were randomly divided into two groups, the traditional Chinese medicicne (TCM) group (n=98) treated with XYZXT and the Western medicine (WM) group (n=50) treated with adrenosin, vitamins C, K and P, both for 6 months. The therapeutic effect and the recovery rate of platelet aggregation in the two groups were observed. And platelet membrane glycoprotein (GP) Ⅰb/Ⅸ, GPⅡb/Ⅲa complexes, GPⅠb, GPⅡb, GP Ⅲa and P-selectin were analyzed by flow cytometry in both groups before and after treatment and also in 34 normal healthy subjects. Results: The total effective rate of hemostasis was 89. 8% in TCM group and 54. 0% in the WM group (x2=45.83, P<0.01), and the recovery rate of platelet aggregation was 72.4% and 4.0% respectively (x2=62.06, P<0.01). The fluorescence intensity of GP Ⅰ b/Ⅸ, GPⅡb/Ⅲa complexes, GPⅠb, GPⅢa and P-selectin were lower in both groups before treatment than those in the healthy subjects. Expression of above-mentioned marks was elevated in TCM group after 6 months' therapy, which was insignificantly different as compared with the healthy subjects (P>0.05) and higher than those in the WM group (P<0.05). Conclusion: One of the mechanisms in treating hemorrhagic thrombopathy with XYZXT is that it could regulate the expression of GP Ⅰb/Ⅸ, GPⅡ b/Ⅲa complexes, GPⅠb, GPⅢa and P-selectin at the level of receptor protein. 展开更多
关键词 hemorrhagic thrombopathy Xiaoyu Zhixue tablet platelet membrane glycoproteins
下载PDF
Expression of Platelet Membrane Glycoprotein Ib/Ⅸ/Ⅴ Complex,a Receptor of Thrombin,in Patients with Hemorrhagic Thrombopathy 被引量:3
7
作者 沈霖 沈迪 +4 位作者 朱锐 朱闽 卢芙蓉 秦铀 范恒 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2008年第6期657-659,共3页
To investigate the role of platelet membrane glycoprotein (GP) Ib/Ⅸ/Ⅴ complex and its subunit GP Ibα in patients with hemorrhagic thrombopathy (HT), the expressions of GP Ib/Ⅸ/Ⅴ complex and GP Ibα,defined as... To investigate the role of platelet membrane glycoprotein (GP) Ib/Ⅸ/Ⅴ complex and its subunit GP Ibα in patients with hemorrhagic thrombopathy (HT), the expressions of GP Ib/Ⅸ/Ⅴ complex and GP Ibα,defined as mean fluorescence intensity (MFI), were assessed by flow cytometry. The maximum aggregation of platelet was determined by turbidity method. These indicators were compared among 68 HT patients with the presenting complaint of hemorrhage, 33 well-controlled HT patients and 32 normal healthy subjects. The results showed that the MFI of GP Ib/Ⅸ /Ⅴ complex and GP Ibα was markedly lower in HT patients with current hemorrhage than that in the healthy subjects, with difference being statistically significant (P〈0.05). There was no significant difference in the expressions of GP Ib/ Ⅸ/ Ⅴ complex and GP Ibα between well-controlled HT patients and normal healthy subjects (P〉0.05). It was concluded that the expression of GP Ib/Ⅸ /Ⅴ complex, the receptor of thrombin and von Willebrand factor, was down-regulated in HT patients with current hemorrhage, which might result in the dysfunction of platelet aggregation and recurrence of HT. 展开更多
关键词 platelet membrane glycoproteins hemorrhagic thrombopathy thrombin receptor plateletAGGREGATION
下载PDF
Association of the Platelet Membrane Glycoprotein Ⅰa C807T Gene Polymorphism with Aspirin Resistance 被引量:1
8
作者 苏冠华 王朝晖 +2 位作者 丁艳萍 刘晓倩 王珏 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2007年第6期664-667,共4页
To explore the correlation between the C807T polymorphism of platelet membrane glycoprotein Ⅰa (GP Ⅰa) gene and aspirin resistance in Chinese people, 200 patients with high-risk of atherosclerosis took aspirin (1... To explore the correlation between the C807T polymorphism of platelet membrane glycoprotein Ⅰa (GP Ⅰa) gene and aspirin resistance in Chinese people, 200 patients with high-risk of atherosclerosis took aspirin (100 mg/d) for 7 days. Platelet aggregation function was detected using adenosine diphosphate (ADP) and arachidonic acid (AA) before and after the administration of aspirin. Then the subjects were divided into three groups according to the results of platelet aggregation function: an aspirin resistant (AR) group, an aspirin semi-responder (ASR) group and an aspirin-sensitive (AS) group. Platelet GP Ⅰa gene 807CT polymorphism was examined by means of polymerase chain reaction-sequence specific primers (PCR-SSP). The results showed that T allelic frequency in AR group and ASR group were higher that of AS group (P〈0.005), and the prevalence of genotypes (TT+TC) of these two groups was significantly higher than that in AS group (P〈0.05). Platelet GP Ⅰa T allele was significantly associated with aspirin resistance as revealed by multiple logistic regression (OR=3.76, 95% CI: 2.87-9.58). The results suggest that inherited platelet GP Ⅰa variations may have an important impact on aspirin resistance and the presence of GP Ⅰa T allele may be a marker of genetic susceptibility to aspirin resistance. 展开更多
关键词 platelet membrane glycoprotein aspirin resistance genetic polymorphism ATHEROSCLEROSIS
下载PDF
Relationship and significance between anti-b2-glycoproteinⅠantibodies and platelet activation state in patients with ulcerative colitis 被引量:1
9
作者 Yan-Hang Gao Pu-Jun Gao +2 位作者 Chun-Guang Wang Xiao-Cong Wang Yun-Feng Piao 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第5期771-775,共5页
AIM:To study the relationship between anti-b2-glycoprotein Ⅰ (ab2GPⅠ) antibodies and platelet activation state in patients with ulcerative colitis (UC) and its significance. METHODS:Peripheral blood samples were col... AIM:To study the relationship between anti-b2-glycoprotein Ⅰ (ab2GPⅠ) antibodies and platelet activation state in patients with ulcerative colitis (UC) and its significance. METHODS:Peripheral blood samples were collected from 56 UC patients (34 males and 22 females, aged 43.5 years, range 21-66 years), including 36 at active stage and 20 at remission stage, and 25 sex-and age-matched controls. The level of ab2GPⅠ was measured by ELISA. The platelet activation markers, platelet activation complex-Ⅰ (PAC-Ⅰ) and P-selectin (CD62P) were detected by flow cytometry. RESULTS:The A value for IgG ab2GPⅠ in the active UC group was 0.61 ± 0.13, significantly higher than that in the remittent UC and control groups (0.50 ± 0.13 and 0.22 ± 0.14, P < 0.01). There was a significant difference between the two groups (P < 0.01). The A value for IgM ab2GPⅠ in the active and remittent UC groups was 0.43 ± 0.13 and 0.38 ± 0.12, significantly higher than that in the control group (0.20 ± 0.12, P < 0.01). However, there was no significant difference between the two groups (P > 0.05). The PAC-Ⅰ positive rate for the active and remittent UC groups was 30.6% ± 7.6% and 19.6% ± 7.8% respectively, significantly higher than that for the control group (6.3% ± 1.7%, P < 0.01). There was a significant difference between the two groups (P < 0.01). The CD62P positive rate for the active and remittent UC groups was 45.0% ± 8.8% and 31.9% ± 7.8% respectively, significantly higher than that for the control group (9.2% ± 2.7%, P < 0.01). There was a significant difference between the two groups (P < 0.01). In the active UC group, the more severe the state of illness was, the higher the A value for IgG ab2GPⅠ was, and the positive rate for PAC-I and CD62P was positively correlated with the state of illness (Fab2GPⅠ = 3.679, P < 0.05;FPAC-I (%) = 5.346, P < 0.01;and FCD62P (%) = 5. 418, P < 0.01). Meanwhile, in the same state of illness, the A value for IgG ab2GPⅠ was positively correlated to the positive rates for PAC-I and CD62P. CONCLUSION:ab2GPⅠ level, platelet activation state and their relationship of them are closely correlated with the pathogenesis and development of UC. 展开更多
关键词 β2-糖蛋白1 抗体 大肠炎 症状
下载PDF
Association of the Platelet Glycoprotein Ia C807T Gene Polymorphism With Risk of Myocardial Infarction in Chinese 被引量:2
10
作者 Zhao Qingbin Ma Aiqun Sun Chaofeng 《South China Journal of Cardiology》 CAS 2007年第2期87-91,86,共6页
Objectives To investigate the relationship of the GPIa C807T dimorphism to the risk of myocardial infarction (MI) in Chinese. Methods We did a case-control study including 100 patients and 110 controls with same rac... Objectives To investigate the relationship of the GPIa C807T dimorphism to the risk of myocardial infarction (MI) in Chinese. Methods We did a case-control study including 100 patients and 110 controls with same race. An allele-specific polymerase chain reaction (PCR) was used for genotyping of C807T polymorphism. Results An apparent association was found between the T807 allele and MI among individuals younger than the mean age of 60 years (odds ratio, 2. 49 ; 95 % confidence interval, 1.08 - 6.22 ). The T807 allele remained an independent risk factor for MI when age, sex, smoking, hypertension, diabetes, bodymass index, LDL-cholesterol and HDL-cholesterol were adjusted by logistic regression. Conclusions GPIa T807 appears to be an independent risk factor for MI. 展开更多
关键词 platelet glycoprotein Gene polymorphism Myocardial infarction
下载PDF
Redistribution of Platelet Membrane Glycoprotein IV and Release of Intracellular α-granule Thrombospondin in Patients with Chronic Myelogenous Leukemia
11
作者 刘东旭 沈迪 +3 位作者 邹萍 魏文宁 王爱莲 杨锐 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 1997年第1期21-24,共4页
The redistribution of platelet membrane glycoprotein IV (GPIV) and the release of intracellular Q-granule thrombospondin (TSP) were examined and the inhibition of 5-thromboglobulin (&TG) and platelet factor 4 (PF4... The redistribution of platelet membrane glycoprotein IV (GPIV) and the release of intracellular Q-granule thrombospondin (TSP) were examined and the inhibition of 5-thromboglobulin (&TG) and platelet factor 4 (PF4) in patients with chronic myelogenous leukemia (CML) was observed and quantitation of β-TG and PF4 in sera was conducted. GPIV in inactive platelet from CML was 36080±17010 molecules/platelet as compared with 13190±4810 from the controls (P<0,01), No abnormality was found in the distribution of platelet membrane GPIb and GPIIb/III.(P>0. 05). The GPIV redistribution on active platelet membrane induced thrombin (1U/ml) from CML and healthy donors was 44320132310 and 228001 12700 molecules/platelet respectively (P<0. 01 ). The difference in the release of intracellular Q-granule TSP between CML and the control group was not found (P>0.05). There was no direct correlation between GPIV expression and TSP binding after platelet activation. The high leveIs of β-TG and PF4 in sera inhibited release of intracellular a-granule TSP in vitro. These results indicate that the abnormality of platelet membrane GPIV is a common marker in CML, therefore the specific increase of platelet GPIV in patients with CML may be a useful tool for the diagnosis and monitoring of the platelet dysfunction. The release of interna1 TSP pools is hindered by either β-TG or PF4 in sera. 展开更多
关键词 chronic myelogenous leukemia platelet membrane glycoprotein IV THROMBOSPONDIN
下载PDF
抗凝血酶Ⅲ和膜糖蛋白CD62P对特发性膜性肾病发生栓塞风险的研究 被引量:1
12
作者 张亚瑞 施展 +1 位作者 李梦鸽 孙源博 《中国医药科学》 2023年第14期33-36,67,共5页
据研究统计,慢性疾病给人们造成巨大的经济损失,长期遗留的并发症也严重影响着人们的生活质量。肾脏病也逐渐增加,现在已成为常见慢性疾病,肾病综合征是其中常见类型。原发性肾病综合征的发病病理类型有20%是特发性膜性肾病,近年仍有上... 据研究统计,慢性疾病给人们造成巨大的经济损失,长期遗留的并发症也严重影响着人们的生活质量。肾脏病也逐渐增加,现在已成为常见慢性疾病,肾病综合征是其中常见类型。原发性肾病综合征的发病病理类型有20%是特发性膜性肾病,近年仍有上升的趋势。特发性膜性肾病常见且严重的并发症是血栓栓塞,血栓栓塞一旦发生会危及患者的生命安全并且严重影响预后与未来生活质量,因此预防血栓栓塞的发生有重要作用。本文探讨抗凝血酶Ⅲ与血小板膜糖蛋白CD62P这两个指标对发生血栓栓塞的风险预测。 展开更多
关键词 原发性肾病综合征 特发性膜性肾病 抗凝血酶 血小板膜糖蛋白CD62P
下载PDF
原发与继发免疫性血小板减少症患者血小板膜糖蛋白特异性抗体及其与出血评分关系的研究 被引量:1
13
作者 王秀娟 孙明玲 +2 位作者 马金忠 宋梦婷 郭新红 《中国现代医学杂志》 CAS 2024年第1期78-83,共6页
目的探讨原发与继发免疫性血小板减少症(ITP)患者抗GPⅡb/Ⅲa及GPΙb/Ⅸ抗体的表达、抗体阳性表达与出血评分的关系,以及不同抗体类型出血评分的差异,为原发与继发ITP患者的诊治和出血严重程度提供临床依据。方法选取2013年10月—2020年... 目的探讨原发与继发免疫性血小板减少症(ITP)患者抗GPⅡb/Ⅲa及GPΙb/Ⅸ抗体的表达、抗体阳性表达与出血评分的关系,以及不同抗体类型出血评分的差异,为原发与继发ITP患者的诊治和出血严重程度提供临床依据。方法选取2013年10月—2020年8月在新疆医科大学第一附属医院诊断为原发ITP患者(42例)及继发ITP患者(42例)为研究对象,所有患者入院时采用ITP出血评分量表行出血评分。应用改良MAIPA法检测患者抗GPⅡb/Ⅲa和抗GPΙb/Ⅸ抗体。结果原发与继发组患者抗GPⅡb/Ⅲa抗体、抗GPΙb/Ⅸ抗体阳性率比较,差异无统计学意义(P>0.05),原发组患者抗体表达以抗GPⅡb/Ⅲa抗体为主,继发组抗体表达以抗GPΙb/Ⅸ抗体为主,两者抗体阳性构成比较,差异有统计学意义(P<0.05)。继发组患者整体出血程度较原发组重(P<0.05)。抗体阳性表达与出血程度的关系:(1)抗GPⅡb/Ⅲa抗体阳性患者出血程度较抗体阴性患者重(P<0.05)。(2)抗GPΙb/Ⅸ抗体阳性患者出血程度较抗体阴性患者重(P<0.05),双抗体阳性患者出血程度较抗体阴性患者重(P<0.05)。结论抗GPⅡb/Ⅲa抗体、抗GPΙb/Ⅸ抗体阳性表达对原发与继发ITP无鉴别意义,但原发ITP患者抗体表达以抗GPⅡb/Ⅲa抗体为主,继发ITP患者抗体表达以抗GPΙb/Ⅸ抗体为主。继发ITP患者临床出血程度较原发ITP患者重。抗GPⅡb/Ⅲa抗体、抗GPΙb/Ⅸ抗体及抗体双阳性患者出血程度较抗体阴性患者重。 展开更多
关键词 免疫性血小板减少症 血小板膜糖蛋白特异性抗体 出血评分
下载PDF
血栓形成机制及血小板膜糖蛋白ⅡbⅢ/a受体拮抗剂的研究进展 被引量:24
14
作者 章靓 陈旺 +1 位作者 庞文生 胡娟 《国际药学研究杂志》 CAS 2009年第4期268-271,共4页
血小板膜糖蛋白(GP)ⅡbⅢ/a与纤维蛋白原的结合是血小板聚集的终末共同途径,因而GPⅡbⅢ/a受体拮抗剂可有效地预防血小板介导的血栓形成。本文对血栓形成的机制以及近年来GPⅡbⅢ/a受体拮抗剂在抗血栓方面的研究进展作一简要综述。
关键词 血栓 血小板膜糖蛋白Ⅱb/ⅲa 受体 拮抗剂
下载PDF
抗凝血酶Ⅲ、D-二聚体和血小板检测在儿童脓毒症中的价值 被引量:26
15
作者 黄彩芝 莫丽亚 +2 位作者 邓永超 李爱国 杨娟 《临床儿科杂志》 CAS CSCD 北大核心 2013年第6期530-532,共3页
目的探讨检测血浆抗凝血酶Ⅲ(AT-Ⅲ)活性、D-二聚体(DD)水平和血小板(PLT)数量在儿童脓毒症中的临床价值。方法选取儿科重症监护病房住院患儿103例,其中普通感染组30例,脓毒症组73例;另选择30例健康儿童为正常对照组。检测并比较血浆AT... 目的探讨检测血浆抗凝血酶Ⅲ(AT-Ⅲ)活性、D-二聚体(DD)水平和血小板(PLT)数量在儿童脓毒症中的临床价值。方法选取儿科重症监护病房住院患儿103例,其中普通感染组30例,脓毒症组73例;另选择30例健康儿童为正常对照组。检测并比较血浆AT-Ⅲ活性、DD水平和PLT数量。结果与正常对照组和普通感染组比较,脓毒症组AT-Ⅲ活性和PLT数量明显降低,DD水平明显升高,差异有统计学意义(P均<0.01);而正常对照组和普通感染组间三项指标的差异无统计学意义(P均>0.05);脓毒症患儿中严重脓毒症组、DIC组和死亡组的AT-Ⅲ活性和PLT数量明显降低,DD水平明显升高,差异有统计学意义(P均<0.01),DIC组三项指标同时异常的发生率为70.37%。结论儿童脓毒症存在明显的凝血纤溶功能紊乱,血浆AT-Ⅲ活性、DD水平和PLT数量检测有助于儿童脓毒症时DIC的早期诊断,并且对患儿的病情估计和预后判断有一定的临床价值。[临床儿科杂志,2013,31(6) 展开更多
关键词 脓毒症 抗凝血酶 D-二聚体 血小板 儿童
下载PDF
新型抗血小板药物——血小板糖蛋白Ⅱb/Ⅲa受体拮抗药 被引量:23
16
作者 许青 李静 郑艳彬 《中国新药与临床杂志》 CAS CSCD 北大核心 2002年第3期172-177,共6页
血小板糖蛋白 (GP)Ⅱb/Ⅲa受体拮抗药能明显阻断血小板表面的GPⅡb/Ⅲa受体 ,抑制凝血因子Ⅰ引起的交联从而抑制血小板聚集。因此它能有效地预防冠状动脉介入术后的缺血性并发症 ,并且可以改善不稳定型心绞痛和急性心肌梗死的长期预后 ... 血小板糖蛋白 (GP)Ⅱb/Ⅲa受体拮抗药能明显阻断血小板表面的GPⅡb/Ⅲa受体 ,抑制凝血因子Ⅰ引起的交联从而抑制血小板聚集。因此它能有效地预防冠状动脉介入术后的缺血性并发症 ,并且可以改善不稳定型心绞痛和急性心肌梗死的长期预后 ,是一类很有应用前途的抗血小板药物。本文对该类药物的作用机制、药动学。 展开更多
关键词 糖蛋白类 冠状动脉疾病 血小板聚集抑制剂 抗血小板药物 血栓形成
下载PDF
心脏手术病人血小板、抗凝血酶Ⅲ与肝素相对耐药的相关性 被引量:15
17
作者 尹述洲 邓硕曾 +1 位作者 卢光奎 赵耿生 《临床麻醉学杂志》 CAS CSCD 2004年第2期73-74,共2页
目的 研究体外循环下心脏手术病人的血小板 (Plt)、抗凝血酶Ⅲ (AT Ⅲ )活性与肝素相对耐药的相关性。方法 根据术前Plt水平将 6 0例心脏手术病人分成两组 ,A组为高Plt组 (Plt>2 5 0× 10 9/L) ,B组为低Plt组 (Plt <15 0... 目的 研究体外循环下心脏手术病人的血小板 (Plt)、抗凝血酶Ⅲ (AT Ⅲ )活性与肝素相对耐药的相关性。方法 根据术前Plt水平将 6 0例心脏手术病人分成两组 ,A组为高Plt组 (Plt>2 5 0× 10 9/L) ,B组为低Plt组 (Plt <15 0× 10 9/L ) ,每组 30例。麻醉诱导后抽取中心静脉血测定AT Ⅲ活性、全血活化凝固时间 (ACT)基础值及肝素化后ACT值。结果 A组AT Ⅲ活性显著低于B组 (P <0 .0 5 ) ,肝素相对耐药患者多于B组 ,尤其以AT Ⅲ活性 <70 %的患者肝素相对耐药发生率明显增多。结论 Plt计数偏高与AT Ⅲ活性低有一定相关性 ,Plt计数高者AT Ⅲ活性下降明显 。 展开更多
关键词 心脏手术 血小板 抗凝血酶 肝素 耐药性 中心静脉
下载PDF
血小板膜糖蛋白Ⅱb/Ⅲa受体拮抗剂RGDS对血小板释放反应的影响 被引量:9
18
作者 谢双锋 尹松梅 +6 位作者 杨国雷 聂大年 李益清 王秀菊 马丽萍 吴裕丹 王景峰 《中山大学学报(医学科学版)》 CAS CSCD 北大核心 2007年第2期192-195,共4页
【目的】观察血小板膜糖蛋白Ⅱb/Ⅲa(GPⅡb/Ⅲa)拮抗剂——四肽Arg-Gly-Asp-Ser(RGDS)对血小板聚集和CD62p表达的作用,探讨RGDS对血小板聚集和释放反应的影响。【方法】检测二磷酸腺苷(ADP;终浓度5μmol/L,下同)诱导血小板聚集的最大聚... 【目的】观察血小板膜糖蛋白Ⅱb/Ⅲa(GPⅡb/Ⅲa)拮抗剂——四肽Arg-Gly-Asp-Ser(RGDS)对血小板聚集和CD62p表达的作用,探讨RGDS对血小板聚集和释放反应的影响。【方法】检测二磷酸腺苷(ADP;终浓度5μmol/L,下同)诱导血小板聚集的最大聚集率(rPA,max)、静息血小板和ADP诱导的血小板CD62p表达,检测不同浓度RGDS对ADP诱导的rPA,max的抑制率和血小板CD62p表达的抑制率,进行回归分析。【结果】5种浓度(50、100、200、400、800μmol/L)的RGDS对rPA,max均有显著抑制作用。正常人静息血小板CD62p表达率为(3.5±0.6)%;ADP激动的血小板CD62p表达率为(65.6±13.8)%,两组比较有显著性差异(P<0.01);50、100μmol/L的RGDS对血小板CD62p表达无抑制作用;当RGDS浓度≥200μmol/L时(200、400、800μmol/L),其可抑制血小板CD62p的表达;RGDS对rPA,max的抑制作用和其对血小板CD62p表达的抑制作用相关。【结论】RGDS浓度<200μmol/L时,对ADP诱导的血小板释放反应无影响;RGDS浓度≥200μmol/L时,可抑制ADP诱导的血小板释放反应;与RGDS显著的抗聚集效应相比,其对血小板释放反应的影响比较小;RGDS抑制血小板释放反应的作用与其抗血小板聚集有关。 展开更多
关键词 血小板膜糖蛋白Ⅱb/ⅲa 受体拮抗剂RGDS CD62P
下载PDF
汉族人血小板膜糖蛋白Ⅲa PLA基因多态性与冠心病血瘀证的相关性 被引量:10
19
作者 薛梅 陈可冀 殷惠军 《中西医结合学报》 CAS 2009年第4期325-329,共5页
目的:观察血小板膜糖蛋白Ⅲa(glycoproteinⅢa,GPⅢa)PLA1/PLA2基因多态性和北京、河北地区汉族人中各基因型的分布频率,分析该基因多态性与冠心病、冠心病血瘀证易感性的相关性。方法:采用病例对照设计,筛选符合入选标准的110例冠心病... 目的:观察血小板膜糖蛋白Ⅲa(glycoproteinⅢa,GPⅢa)PLA1/PLA2基因多态性和北京、河北地区汉族人中各基因型的分布频率,分析该基因多态性与冠心病、冠心病血瘀证易感性的相关性。方法:采用病例对照设计,筛选符合入选标准的110例冠心病血瘀证患者和102例冠心病非血瘀证患者为研究对象,另收集39例健康志愿者作为对照人群。所有入选病例均进行中医辨证分型,提取全血DNA,采用TaqMan探针技术检测PLA1/PLA2基因多态性。结果:TaqMan探针检测图谱表明,健康对照组、冠心病血瘀证组和冠心病非血瘀证组rs5918多态位点分型皆为纯合子TT型,即PLA1/PLA2型,而PLA1/PLA1(TC)型和PLA2/PLA2(CC)型缺如,未再进一步作统计学分析。结论:GPⅢaPLA1/PLA2多态位点不是汉族人冠心病和冠心病血瘀证的危险因素,相关的易感基因可能存在于其他多态位点中。 展开更多
关键词 冠状动脉心脏病 血瘀 血小板膜糖蛋白Ⅱb— a复合物 多态性 基因
下载PDF
红花注射液对急性冠状动脉综合征患者血小板糖蛋白Ⅱb/Ⅲa受体影响的随机对照研究 被引量:14
20
作者 朱岩峰 罗海明 +3 位作者 邓中龙 符德玉 姚望 戴健 《中西医结合学报》 CAS 2012年第3期318-323,共6页
背景:血小板表面糖蛋白(glycoprotein,GP)Ⅱb/Ⅲa受体是评价血小板活化的重要指标,具有活血化瘀作用的中成药红花注射液对该指标的影响对于探讨其抗血小板凝集作用机制及疗效有重要意义。目的:观察红花注射液对急性冠状动脉综合征患者... 背景:血小板表面糖蛋白(glycoprotein,GP)Ⅱb/Ⅲa受体是评价血小板活化的重要指标,具有活血化瘀作用的中成药红花注射液对该指标的影响对于探讨其抗血小板凝集作用机制及疗效有重要意义。目的:观察红花注射液对急性冠状动脉综合征患者血小板表面糖蛋白GPⅡb/Ⅲa受体的影响,探讨红花注射液在抗血小板凝集治疗中的作用及其机制。设计、场所、对象和干预措施:选择2008年9月至2009年5月在上海中医药大学附属岳阳中西医结合医院心血管内科住院的急性冠状动脉综合征患者64例,用随机数字表法分为红花注射液治疗组(32例,常规西药加红花注射液)与对照组(32例,常规西药),两组疗程均为14 d。主要结局指标:采用免疫荧光标记法和流式细胞仪检测治疗前后血小板活化标志物GPⅡb/Ⅲa复合物(CD41)、P选择素(CD62p)和溶酶体膜糖蛋白(CD63)的表达,同时观察红花注射液对急性冠状动脉综合征患者心绞痛症状及近期预后的影响。结果:对照组中有4例患者因提前出院而退出试验。对照组和治疗组的CD41比例、CD41抗体荧光量治疗后比治疗前均有所降低,差异有统计学意义(P<0.05,P<0.01);治疗后治疗组CD41比例、CD41抗体荧光量低于对照组(P<0.05);两组CD62p比例和CD63比例治疗后均呈现出一定的下降趋势,但与治疗前比较差异无统计学意义。两组患者在住院14 d中均未发生死亡、心肌梗死、脑卒中事件,红花注射液治疗组患者心绞痛症状缓解和心电图表现均明显好于对照组。结论:红花注射液具有抑制血小板膜糖蛋白GPⅡb/Ⅲa受体表达的作用,对急性冠状动脉综合征患者心绞痛具有很好的缓解作用,可增强常规西药抗血小板活化的作用。 展开更多
关键词 冠心病 急性冠状动脉综合征 中成药 血小板膜糖蛋白类 血小板糖蛋白 GPⅡb-ⅲa复合物 P选择素 随机对照试验
下载PDF
上一页 1 2 43 下一页 到第
使用帮助 返回顶部