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Erworbener Thrombininhibitor bei zwei Kindern

  • Conference paper
22. Hämophilie-Symposion Hamburg 1991
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Zusammenfassung

Erworbene Inhibitoren gegen Thrombin sind sehr selten [1, 4, 6].

1988 beschrieben STRICKER et al. erstmals das postoperative Auftreten eines Inhibitors gegen Thrombin nach herzchirurgischen Eingriffen bei drei Patienten mit künstlichen Herzklappen [5]. Als Ursachen wurde chronische Prothrombinaktivierung an der Klappenoberfläche mit nachfolgender Sensibilisierung gegen Thrombin, Infektionen oder Antibiotikagabe diskutiert.

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References

  1. Barthels M, Heimburger N (1985) Acquired thrombin inhibitor in a patient with liver cirrhosis. Haemostasis 15:395–401

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  2. Flaherty MJ, Henderson R, Wener MH (1989) Iatrogenic immunization with bovine thrombin: a mechanism for prolonged thrombin times after surgery. Ann Int Med 111:631–634

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  3. Flaherty MJ, Wener MH (1989) Antibodies to thrombin in postsurgical patients (letter). Blood 73:1386

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  4. Muntean W, Beitzke A (1989) Acquired thrombin inhibitor following cardiac surgery in a 14 years old boy. Thrombos Haemostas 62:15 a

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  5. Stricker RB, Lane PK, Leffert JD, Rodger GM, Shuman MA, Corash L (1988) Development of antithrombin antibodies following surgery in patients with prostethic cardiac valves. Blood 72:1375–1380

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  6. Zehnder JL, Leung LLK (1990) Development of antibodies to thrombin and factor V with recurrent bleeding in a patient exposed to topical bovine thrombin. Blood 76:2011–2016

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© 1992 Springer-Verlag Berlin Heidelberg

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Zenz, W., Finding, K., Muntean, W. (1992). Erworbener Thrombininhibitor bei zwei Kindern. In: Landbeck, G., Scharrer, I., Schramm, W. (eds) 22. Hämophilie-Symposion Hamburg 1991. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77881-0_39

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  • DOI: https://doi.org/10.1007/978-3-642-77881-0_39

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-56096-8

  • Online ISBN: 978-3-642-77881-0

  • eBook Packages: Springer Book Archive

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