Assessment of thrombocytopenic disorders using the Platelet Function Analyzer (PFA-100®)

被引:25
作者
Carcao, MD
Blanchette, VS
Stephens, D
He, LJ
Wakefield, CD
Butchart, S
Christie, DJ
Rand, ML
机构
[1] Hosp Sick Children, Div Hematol Oncol, Toronto, ON M5G 1X8, Canada
[2] Univ Toronto, Dept Paediat, Div Haematol Oncol, Toronto, ON, Canada
[3] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON, Canada
[4] Univ Toronto, Dept Biochem, Toronto, ON, Canada
[5] Hosp Sick Children, Dept Nursing, Toronto, ON M5G 1X8, Canada
[6] Hosp Sick Children, Dept Paediat, Div Clin Epidemiol, Toronto, ON M5G 1X8, Canada
[7] Dade Behring, Miami, FL USA
关键词
platelet function; PFA-100((R)); thrombocytopenia; ITP;
D O I
10.1046/j.1365-2141.2002.03511.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Platelet Function Analyzer (PFA-100((R)) ) was used to measure platelet function in paediatric patients with destructive versus underproduction thrombocytopenia. Closure time (CT) and total volume (TV) measurements with standard 150 mum apertures discriminated between patients with similar platelet counts from 30 to 150 x 10(9) /l. However, at platelet counts < 30 x 10(9) /l, a 100-mum aperture (experimental) gave the best assessment of platelet function. TV results could be analysed even when CTs were indeterminate. Further investigations are warranted to more fully understand the relationships among platelet function as measured by the PFA-100((R)) in standard/experimental modes, bleeding and transfusion outcome in thrombocytopenia.
引用
收藏
页码:961 / 964
页数:4
相关论文
共 12 条
[1]  
Carcao MD, 1998, BRIT J HAEMATOL, V101, P70
[2]  
Escolar G, 1999, HAEMATOLOGICA, V84, P614
[3]   BLEEDING TIME AS A SCREENING-TEST FOR EVALUATION OF PLATELET FUNCTION [J].
HARKER, LA ;
SLICHTER, SJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1972, 287 (04) :155-&
[4]   Performance of the platelet function analyser PFA-100® in testing abnormalities of primary haemostasis [J].
Harrison, P ;
Robinson, MSC ;
Mackie, IJ ;
Joseph, J ;
McDonald, SJ ;
Liesner, R ;
Savidge, GF ;
Pasi, J ;
Machin, SJ .
BLOOD COAGULATION & FIBRINOLYSIS, 1999, 10 (01) :25-31
[5]  
KUNDU S, 1994, CLIN CHEM, V40, P1827
[6]  
KUNDU SK, 1995, SEMIN THROMB HEMOST, V21, P106
[7]   Characterization of an in vitro platelet function analyzer, PFA-100(TM) [J].
Kundu, SK ;
Heilmann, EJ ;
Sio, R ;
Garcia, C ;
Ostgaard, RA .
CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS, 1996, 2 (04) :241-249
[8]  
LIND SE, 1991, BLOOD, V77, P2547
[9]  
MAMMEN EF, 1995, SEMIN THROMB HEMOST, V21, P113
[10]   The preoperative bleeding time test lacks clinical benefit - College of American Pathologists' and American Society of Clinical Pathologists' Position Article [J].
Peterson, P ;
Hayes, TE ;
Arkin, CF ;
Bovill, EG ;
Fairweather, RB ;
Rock, WA ;
Triplett, DA ;
Brandt, JT .
ARCHIVES OF SURGERY, 1998, 133 (02) :134-139