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Fibrinolytics and Antifibrinolytics (Paperback, Softcover reprint of the original 1st ed. 1978)
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Fibrinolytics and Antifibrinolytics (Paperback, Softcover reprint of the original 1st ed. 1978)
Series: Handbook of Experimental Pharmacology, 46
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Disturbances of haemostasis and thromboembolic disorders still
constitute a great problem in clinical practice. Increasing insight
into the mechanism of blood coagula tion has led to more effective
therapy and prophylaxis. Particularly, the understand ing of the
biochemistry of fibrinolysis has provided possibilities for the
pharma cological interference of these processes, which has
resulted in effective haemostatic agents and useful antithrombotic
ones. The development of antifibrinolytics for interfering with
pathological fibrinolytic processes is nearly complete and has led
to the development of drugs essential to the therapy of
hyperfibrinolytic bleeding. The search for fibrinolytics for
dissolving intravascular thrombi has led to highly effective
compounds. This development is still under way and promising
results are hoped. Spontaneous dissolution of blood clots is a
phenomenon which was described a century ago. First investigations
of this process assured that there is in the organism a system
capable of removing the fibrin which is formed during blood
coagulation after it has fulfilled its physiological function. This
fibrinolytic system is specifically adapted to the degradation of
insoluble fibrin into soluble degradation products. In the past 30
years, thorough investigation of this system has clarified the
fibrinolytic process, its physiological role and its meaning as a
pathogenetic principle. A good knowledge of these processes is
required for an understanding of the effects and side effects of
fibrinolytics and antifibrinolytics, which comprise the basis of
methods for the detection of fibrinolytic processes in the organism
and of the control of therapy with these drugs."
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