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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Haemostatic Profile of Patients with Chronic Liver Disease- its Correlation with Severity and Outcome EC24-EC26
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Haemostatic Profile of Patients with Chronic Liver Disease- its Correlation with Severity and Outcome EC24-EC26

机译:慢性肝病患者的止血曲线及其与严重程度和结果的关系EC24-EC26

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Introduction: The liver plays an important role in the haemostatic system as it synthesizes the majority of coagulation factors and fibrinolytic proteins.Aim: The present study was planned to determine the range of haemostatic defects in patients of chronic liver diseases.Materials and Methods: Test performed included Prothrombin Time (PT), activated Partial Thromboplastin Time (aPTT), Thrombin Time (TT), Fibrinogen, Protein C, D Dimer and platelet count. Comparisons between groups frequencies and groups means were made using Chi-square test and Student?s t-test, respectively.Results: In cirrhosis group PT, aPTT, TT and D Dimer level were significantly increased compared to Chronic Hepatitis (CH) and control group (p<0.001 for all comparisons). Serum fibrinogen, Protein C and platelet count were significantly reduced in cirrhosis patients compared to CH and control group. (p<0.001 for all comparisons). All studied coagulation parameters were within normal limit in CH group. However, statistically significant difference was found in protein C and mean platelet count in CH group compared to control (p=0.03 and p<0.001 respectively). No evidence of bleeding or thrombosis was present in study group.Conclusion: In cirrhosis patients severe derangement in both anti and procoagulant factors occurs. Haemostatic profile in chronic hepatitis patient remains within normal limits.
机译:简介:肝脏在止血系统中起着重要作用,因为它合成了大多数凝血因子和纤溶蛋白。目的:本研究旨在确定慢性肝病患者止血缺陷的范围。材料与方法:测试进行的检查包括凝血酶原时间(PT),活化的部分凝血活酶时间(aPTT),凝血酶时间(TT),纤维蛋白原,蛋白C,D二聚体和血小板计数。结果:肝硬化组PT,aPTT,TT和D Dimer的水平较慢性肝炎(CH)和对照组显着升高,分别用卡方检验和St​​udent t检验进行比较。组(所有比较均p <0.001)。与CH和对照组相比,肝硬化患者的血清纤维蛋白原,蛋白C和血小板计数显着降低。 (对于所有比较,p <0.001)。 CH组所有研究的凝血参数均在正常范围内。然而,与对照组相比,CH组的蛋白C和平均血小板计数存在统计学差异(分别为p = 0.03和p <0.001)。研究组没有出血或血栓形成的证据。结论:在肝硬化患者中,抗凝血因子和促凝血因子均发生严重紊乱。慢性肝炎患者的止血曲线保持在正常范围内。

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