PERITONEAL FIBRINOLYTIC-ACTIVITY AND INTRAABDOMINAL ADHESIONS

被引:197
作者
VIPOND, MN [1 ]
WHAWELL, SA [1 ]
THOMPSON, JN [1 ]
DUDLEY, HAF [1 ]
机构
[1] HAMMERSMITH HOSP,DEPT SURG,LONDON W12 0HS,ENGLAND
关键词
D O I
10.1016/0140-6736(90)91125-T
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The mechanisms leading to reduction of peritoneal fibrinolytic activity in conditions that are associated with the formation of intra-abdominal adhesions were studied. Tissue plasminogen activator was found, by antibody inhibition techniques, to be the activator of fibrinolysis in homogenates of control peritoneum (n=6). Homogenates of control (n=10) and inflamed peritoneum (n=10) were analysed. Plasminogen activating activity was much lower in inflamed peritoneum (median 0·07 IU/cm2) than in control tissue (median 12·0 IU/cm2) (p<0·001). Levels of tissue plasminogen activator and α2-antiplasmin were similar in both control and inflamed tissue. Plasminogen activator inhibitor-1, not detectable in control peritoneum, was present in inflamed tissue and might be the reason for the reduction in functional fibrinolytic activity. © 1990.
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页码:1120 / 1122
页数:3
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