评估利用奶牛血液凝固系统指标预测孕妇晚期中毒的可能性

V. Mikhalev, G. Chusova
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引用次数: 0

摘要

对妊娠 60-75 天、135-150 天和 210-230 天的 42 头妊娠母牛的血液凝固系统指标(凝血酶时间、凝血酶原时间、活化部分凝血活酶时间 - aPTT)进行了研究,根据类比原则分为三组:生理过程组、无妊娠晚期中毒症的胎儿生长受限综合征组和并发妊娠中毒症的胎儿生长受限综合征组。 通过经直肠和超声波检查诊断妊娠。胎儿生长受限综合征是在怀孕 60-75 天时使用频率为 7.5 兆赫的线性传感器超声扫描仪诊断出来的。 在妊娠 210-230 天时,通过出现高血压、蛋白尿和水肿来诊断妊娠动物的晚期中毒症。从参加实验的动物身上采集血液样本,以测定血小板含量、凝血酶和凝血酶原时间以及 aPTT。 研究表明,血小板含量是预测妊娠期前五个月妊娠中毒症的信息指标,其敏感性为 80.0%,特异性为 87.5%。 妊娠 60-150 天的凝血酶时间的敏感性为 77.8%,特异性为 90.0%,凝血酶原时间为 70.0 和 88.9%,妊娠 135-150 天的 aPTT 分别为 77.8 和 85.7%。妊娠 2 个月时测定的妊娠动物晚期中毒症早期诊断预后指标为:血小板水平 - 451.2 x 109/L 及以上;凝血酶时间 - 87.3 秒及以下;凝血酶原时间 - 35.1 秒及以下。怀孕 5 个月时测定的妊娠中毒早期诊断指标为:血小板水平 - 437.5 x 109/L 及以上;凝血酶时间 - 78.6 秒及以下;凝血酶原时间 - 30.3 秒及以下;aPTT - 41.8 秒及以下。
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Evaluation of the possibility of using indicators of the blood coagulation system of cows to predict late toxicosis of pregnant women
Indicators of  the blood  coagulation  system (thrombin time, prothrombin time, activated  partial  thromboplastin  time -  aPTT) were studied on 42 pregnant cows at 60-75, 135-150  and  210-230  days  of  pregnancy, divided  according  to  the  principle  of  analogues  into  three  groups:  physiological course,  fetal  growth  restriction  syndrome without  late  toxicosis  of  pregnancy,  fetal growth restriction syndrome complicated by gestosis.  Pregnancy  was  diagnosed  using transrectal  and  ultrasound  examinations. Fetal growth restriction syndrome was diagnosed at 60-75 days of pregnancy using an ultrasound scanner with a linear sensor with a  frequency  of  7.5  MHz.  Late  toxicosis  of pregnant animals was diagnosed at 210-230 days of pregnancy by the presence of hypertension, proteinuria and edema. Blood samples were taken from the animals included in the experiment to determine the platelet content,  thrombin  and  prothrombin  time  and aPTT.  It  has  been  established  that  platelet content is an informative indicator for predicting  gestosis  in  the  first  five  months  of pregnancy  with  a  sensitivity  of  80.0%  and specificity  of  87.5%.  The  sensitivity  of thrombin time at 60-150 days of pregnancy is  77.8%,  specificity -  90.0%,  prothrombin time  -  70.0  and  88.9%,  aPTT  at  135-150 days of pregnancy - 77.8 and 85.7%, respectively. Prognostic markers for early diagnosis of late toxicosis in pregnant animals, determined  at  2  months  of  pregnancy  are: platelet  level -  451.2  x  109/L  and  higher; thrombin  time –  87.3 seconds  and  below; prothrombin time – 35.1 seconds and below. Indicators  for  early  diagnosis  of  gestosis, determined  at  5  months  of  pregnancy,  are: platelet  level -  437.5  x  109/L  and  higher; thrombin  time –  78.6 seconds  and  below; prothrombin time – 30.3 seconds and below; aPTT – 41.8 sec and below.
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