妊娠期激肽形成酶系统与产科DIC。

M Maki, K Soga, K Gotoh
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引用次数: 4

摘要

妊娠期间升高的前钾likrein和HMW激肽原水平随着分娩开始而下降。预钾likrein和HMW激肽原减少,分娩过程中出现游离的类似钾likrein的酶,以及分娩时预钾likrein和HMW激肽原明显减少的情况,都表明催产素形成激肽系统在分娩机制中的作用。Prekallikrein在急性产科DIC和严重妊娠毒血症患者中明显降低。预钾likin在DIC中的过度激活似乎有助于理解产科DIC中休克、异常产程和通透性增加等临床症状。
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The kinin-forming enzyme system in pregnancy and obstetrical DIC.

Levels of prekallikrein and HMW kininogen that had increased during pregnancy decreased with start of labor. The role of the kinin-forming system with oxytocin in the mechanism of labor was suggested from the results of decreased prekallikrein and HMW kininogen, appearance of a free kallikrein-like enzyme during labor, and from the case of arrested labor in which both prekallikrein and HMW kininogen were markedly decreased. Prekallikrein was markedly decreased in patients with acute obstetrical DIC and severe toxemia of pregnancy. The excessive activation of prekallikrein in DIC seemed to be of help for understanding such clinical signs as shock, abnormal labor, and increased permeability in obstetrical DIC.

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