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김인호(In Ho Kim),박선양(Seon Yang Park),이종태(Jong Tai Lee),방수미(Soo Mee Bang),김효수(Hyo Su Kim),김병국(Byoung Kook Kim),김노경(Noe Kyeong Kim),박성섭(Seong Sub Park),조한익(Han Ik Cho),정해영(Hae Young Jeong),유욱준(Ook Joon Yo 대한내과학회 1996 대한내과학회지 Vol.51 No.6
N/A Objectives: Thromboembolism is a serious medical problem causing considerable morbidity and mortality. Major clinical risk factors for thrombosis included surgery, fracture, malignancy, old age, immobilization and the use of oral contraceptives. In the last several decades, substantial progress has been made in identifying hereditary factors predisposing to thrombosis. The genetic defects known to be associated with thrombophilia are deficiencies of antithrombin 3, protein C, protein S, dysfibrinogenemia and resistance to the anticoagulant action of activated protein C. We have elucidated the characteristics of heriditary thrombophilia of the Korean patients. Methods: The clinical profiles of 48 patients with heriditary thrombophilia (12 cases of our hospital and 36 cases reported previously in Korea) were analyzed. The underlying hemostatic abnormalities about antithrombin 3, Protein C, Protein S, activated protein C, fibriongen were investigated. Family studies of 6 patients of our 12 patients were done. Nucleotide sequences of antithrombin 3 genes of 2 patients were studied. Results: 1) Seven patients (58%) among our 12 patients had thrombotic onset before fifth decades, and 5 patients developed thromboses at their third decades. 2) Pulmonary embolisms were diagnosed in 10 cases (83%) among our 12 cases. Deep vein thromboses of lower extremities were 8 cases (67%) and usually rare site thromboses like a portal vein thrombosis occurred frequently (8 cases, 67%). Arterial thromboses occurred in two cases (17%). Hereditability of 5 families were confirmed by family study. 3) Analysis of 48 cases showed that protein C deficiency (12 cases, 25%) and protein S deficiency (19 cases, 40%) occurred relatively frequently. 4) Neither Resistance to activated protein C nor mutation in the factor V gene was demonstrated in Korean patients with deep vein thrombosis and normal persons. This result suggests that activated protein C resistance may be extremely rare in Korean population. 5) Two new mutations of antithrombin 3 genes were identified in two patients via nucleotide sequencing, and they were named 'AT 3 Seoul' and 'AT 3 Kosung' respectively. Conclusion: We elucidated clinical and laboratory characteristics of hereditary thrombophilia in Korea. Hereditary thrombophilia were not uncommon in Korean patients with deep vein thrombosis, with/without pulmonary embolism. Strong suspicion for hereditary thrombophilia may lead to correct diagnosis and appropriate treatment in these patients.
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개심술환자에서 Fibrinogen Degradation Products 와 Fibrin Degradation Products 농도의 변화
조강희,우성,박성섭,류승철,구영권 대한마취과학회 1993 Korean Journal of Anesthesiology Vol.26 No.3
There were many researches, which qualitative or quantitative assays were performed about fibrinolysis and the degree of activation of coagulation system. Authors measured fibrinogen degradation products(FbDP) and fibrin degradation products(FbDP) by monoclonal enzymeimmunoassay, instead of polyclonal method in 12 cases of cardiopulmonary bypass(CPB). 1) The increase of FgDP after sternotomy is verifying the significant fibrino(geno) lysis occured by stimulation of sternotomy. 2) By the result that FgDP was significantly increased compared with FbDP, primary fibrinogenolysis is more important phenomenon than secondary fibrinolysis during CPB. 3) FbDP and FgDP were most significantly increased immediately before the end of CPB and after CPB. 4) Increased FgDP was decreased after CPB but FbDP was still elevated 5 hours after CPB. According to the above results, CPB induced primary fibrinogenolysis and secondary fibrinolysis in open heart surgery.
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