在急性严重性结肠炎中医院出院后的高凝血:一项前性研究
Benjamin J Griffiths1, Michael J R Desborough2, Marjolijn Duijvestein3
1Translational Gastroenterology Unit, Nuffield Department of Medicine, John Radcliffe Hospital, Oxford, United Kingdom; Department of Gastroenterology, Wellington Regional Hospital, Wellington, New Zealand.
概括
患有急性严重性结肠炎 (ASUC) 的患者在住院期间和住院后表现出高血栓风险 (血栓状况). 这种增加的风险在出院后持续长达12周,证实了严重的静脉血栓栓塞问题.
科学领域:
- 胃肠病学 胃肠病学
- 血液学 血液学 血液学
- 临床医学 临床医学
背景情况:
- 静脉血栓栓塞 (VTE) 是急性严重性结肠炎 (ASUC) 的住院患者的重大风险.
- 了解血栓形状的时间变化对于管理ASUC患者的VTE风险至关重要.
研究的目的:
- 评估ASUC患者在住院期间和出院后最多12周的连续血栓状况.
- 为了将这些情况与患有静止性性结肠炎的患者的情况进行比较.
主要方法:
- 评估了27名ASUC患者和25名对照患者的血栓生成,凝块坚定性 (旋转性血栓收缩),前凝/抗凝因子和纤维素解.
- 在ASUC患者的测量是在入院时,第5天,4周和出院后8-12周进行的.
主要成果:
- 与对照组相比,ASUC患者表现出显著增加的内源性血栓潜力和最大的凝块坚定性.
- 这些原血栓标志物在接收后长达12周的时间内保持升高.
- 在ASUC患者中观察到·维勒布兰德因子抗原,XVIII因子,纤维原和血小板数量的增加.
结论:
- 与静止性性结肠炎患者相比,ASUC患者表现出血栓前静止性血液状况.
- 这种前血栓状况在初始呈现后至少持续8-12周.
- 这些研究结果支持ASUC患者在出院后也存在高风险的VTE.
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