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扁桃体术后出血可能与血中溶解纤维蛋白活性(fibrinolytic activity)有关。作者对10例扁桃体手术病人[利用blue dextran吸着纤维凝块和甲苯磺酰精氨酸甲酯(tosylarginine methylester)两种方法]测定血浆纤溶活性及酯水解活性(esterolytic activity)。结果表明,扁桃体术后纤溶活性和酯水解活性均呈双峰性上升,酯水解活性的增高发生在手术之后及第4～5天,而纤溶活性在手术后3～6小时和第6～7天有轻微增高。从以上结果看出,纤溶活性增高是发生在酯水解活性增高之后,其机理可能是酯水解活性
Postoperative tonsil bleeding may be related to fibrinolytic activity in the blood. The authors measured plasma fibrinolytic activity and esterolytic activity in 10 tonsillectomy patients [using blue dextran sorbent fibrin clot and tosylarginine methylester]. The results showed that the postoperative tonsil fibrinolytic activity and ester hydrolysis activity showed a bimodal increase in ester hydrolysis activity increased after surgery and 4 to 5 days, and fibrinolytic activity in 3 to 6 hours after surgery and 6 ~ 7 days have a slight increase. From the above results, we can see that the increase of fibrinolytic activity occurs after the increase of ester hydrolysis activity, and its mechanism may be that of ester hydrolysis