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Local Hemostasis in Subarachnoid Hemorrhage

 

作者: F.J. von Baumgarten,   G. Burkhard,   D. Englert,   P. Kraus,   H.G. Mertens,   G. Müller-Berghaus,   H. Przuntek,  

 

期刊: European Neurology  (Karger Available online 1987)
卷期: Volume 27, issue 3  

页码: 149-154

 

ISSN:0014-3022

 

年代: 1987

 

DOI:10.1159/000116148

 

出版商: S. Karger AG

 

关键词: Subarachnoid hemorrhage;Vasospasm;Antifibrinolytic treatment;Fibrinopeptide A;Platelet-secreted protein;Cerebrospinal fluid

 

数据来源: Karger

 

摘要:

Fibrinopeptide A (FPA), platelet-secreted protein, platelet factor 4 and beta-thromboglobulin were determined in the cerebrospinal fluid of patients who had suffered from subarachnoid hemorrhage and were treated with 6 g tranexamic acid or 4 million KIU aprotinin to prevent rebleeding. Platelet-secreted proteins and FPA were cleared from the cerebrospinal fluid within 3 days after bleeding. Their vasoactive and thrombotic capability is limited to the initiation period of vasospasm that usually comes to clinical observation 3–8 days after bleeding. Increased thrombotic activity of the cerebrospinal fluid, as reflected by high levels of FPA and platelet-secreted protein, seemed to promote the occurrence of neurological deficit

 

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