INEFFICACY OF FRESH-FROZEN PLASMA IN THE TREATMENT OF L-ASPARAGINASE-INDUCED COAGULATION-FACTOR DEFICIENCIES DURING ALL INDUCTION THERAPY

被引:0
|
作者
NOWAKGOTTL, U [1 ]
RATH, B [1 ]
BINDER, M [1 ]
HASSEL, JU [1 ]
WOLFF, J [1 ]
HUSEMANN, S [1 ]
RITTER, J [1 ]
机构
[1] UNIV HOSP MUNSTER,CTR PEDIAT HEMATOL & ONCOL,MUNSTER,GERMANY
关键词
FRESH FROZEN PLASMA; FIBRINOGEN; ANTITHROMBIN; THROMBIN GENERATION; D-DIMER FORMATION;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A prospective longitudinal study was conducted to determine whether single-donor fresh frozen plasma (FFP) substitution was able to influence L-asparaginase-associated hypoproteinemia. Within a 36-month period, 20 of 42 children with ALL received a total of 42 prophylactic FFP doses at a median of 10 (5-20) mL/kg when fibrinogen levels decreased to < 60 mg/dL, and thrombin time was lengthened. Laboratory monitoring before, during and after FFP substitution showed no shortterm improvements and demonstrated only a minimal increase in fibrinogen and alpha(2)-antiplasmin. Plasma levels of antithrombin and plasminogen remained unchanged. Furthermore, administration of FFP had no influence on thrombin generation, the plasmin/alpha(2)-antiplasmin complex or enhanced D-dimer formation.
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页码:451 / 453
页数:3
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