血小板激活在患有门静脉血栓症的循环病患者中是高调的
Fazhi Zhao1, Jingnuo Ding2, Juanjuan Cui3
1Department of Gastric Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, Sichuan Province, People's Republic of China.
Thrombosis and haemostasis
|October 12, 2023
概括
血小板激活在患有门静脉血栓症 (PVT) 的肝硬化患者中升高. 这表明活化血小板有助于肝硬化中PVT的发展,影响患者的治疗结果.
科学领域:
- 血液学 血液学 血液学
- 胃肠病学 胃肠病学
- 血栓形成研究研究
背景情况:
- 血小板在血栓形成中至关重要.
- 血小板功能的改变可以影响血栓形成的发展.
- 门静脉血栓塞 (PVT) 是肝硬化的一种并发症.
研究的目的:
- 为了研究患有PVT的肝硬化患者的血小板功能变化.
- 确定肝硬化PVT的风险因素和预后指标.
主要方法:
- 招募了145名受试者 (60名肝炎PVT,60名肝炎非PVT,25名健康志愿者).
- 评估临床参数和预后.
- 使用流细胞测量检测血小板激活标记物 (CD62p,CD63),聚合物 (MPA,NPA) 和vWF-Ag.
主要成果:
- 与非PVT组相比,PVT组显示CD41+CD62p+和CD41+CD63+血小板的增加.
- 消化道胃静脉,切除术和D-二次体是PVT的独立风险因素.
- 血小板激活标记与门高血压并发症和血栓形成负担相关.
- 在PVT患者中,死亡率和并发症率较高.
结论:
- 肝硬化患者表现出高血小板激活.
- 在PVT形成期间观察到血小板激活升高.
- 活化血小板可能在肝硬化中的PVT病原发生中发挥作用.
相关概念视频
Formation of the Platelet Plug
6.5K
The platelet phase, the second stage of hemostasis, commences around 15-20 seconds after an injury. It follows and overlaps with the vascular phase, during which blood vessels constrict to minimize blood loss.
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
6.5K
Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors
538
Antiplatelet drugs emerge as frontline defenders against the insidious threat of thromboembolic diseases, where abnormal clots obstruct vital blood vessels. These drugs stand as bulwarks, inhibiting platelet aggregation and clot formation, thereby mitigating the risk of life-threatening conditions like myocardial infarction, coronary artery disease, and thrombotic strokes.
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
538
Esophageal Varices-II: Clinical Features and Management
74
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
74
Hepatic Portal System
1.4K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
1.4K
Esophageal Varices-I: Introduction
155
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
155
Venous Thrombosis I: Introduction
12
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
12


