妇科手术中纤维蛋白溶解系统的局部和全身变化及福伊对这些变化的影响

N. Inaba, N. Satoh, R. Ohkawa, K. Kizawa, S. Sekiya, Junkoh Kudoh, H. Takamizawa
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引用次数: 0

摘要

本研究采用basilic和子宫静脉血液样本研究30例妇科手术患者纤维蛋白溶解系统的局部和全身变化,并评估术前给予乙基-对-(6-胍己氧基)苯甲酸甲磺酸酯(FOY)减少手术相关出血的效果。我们的研究结果证实,在妇科手术中,纤溶活性趋于增加,同时也表明,basilic vein blood并不是局部纤溶活性的可靠指标。在腹部子宫切除术中,全身给药5.0 - 7.5 mg/kg的FOY可抑制局部纤溶活性,且未观察到严重的副作用。
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Local and Systemic Changes in the Fibrinolytic System During Gynecological Surgery and the Effect of Foy on these Changes
We used basilic and uterine vein blood samples to study local and systemic changes in the fibrinolytic system of 30 patients undergoing gynecological surgery and evaluated the effectiveness of preoperative administration of ethyl-p- (6-guanidino hexanoyloxy) benzoate methanesulfonate (FOY) in reducing surgery related bleeding. Our results confirm that fibrinolytic activity tends to increase during gynecological surgery and also suggest that basilic vein blood is not a reliable indicator of local fibrinolytic activity. The systemic administration of 5.0 – 7.5 mg/kg FOY was found to inhibit local fibrinolytic activity during abdominal hysterectomy and no serious side effects were observed.
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