Fukuda A, Ishida H, Kubota M, Kojima Y, Mizobata Y, Matsuoka T, Yokota J
Osaka Prefectural Sensyu Critical Care Medical Center, Izumisano 598-0048.
Rinsho Byori. 2000 Dec;48(12):1102-8.
It often takes longer to achieve hemostasis when performing an operation on a patient in cerebral hypothermia therapy than in a normal patient, despite the lack of abnormal clinical blood coagulation findings, and this study was conducted to investigate the cause of delays in coagulation in patients with hypothermia. In this study, 93 samples of plasma were collected at our center from 10 patients(7 men and 3 women; mean age, 33.7) who were in cerebral hypothermia therapy with a urinary bladder temperature maintained at 32-34 degrees C. Each sample was divided into two, and PT(prothrombin time) and APTT(activated partial thromboplastin time) were measured at the normal analysis temperature of 37 degrees C in one sample, and at the hypothermia temperature of 32-34 degrees C in the other sample. The results showed that PT and APTT tended to shorter at 37 degrees C, than those measured at 32-34 degrees C. Thus, we suggest that it is necessary to regulate the temperature of patients with accidental hypothermia or in whom hypothermia therapy is performed.
尽管缺乏异常的临床凝血检查结果,但对接受脑低温治疗的患者进行手术时,实现止血通常比正常患者花费更长时间,本研究旨在调查低温患者凝血延迟的原因。在本研究中,我们中心从10例接受脑低温治疗的患者(7例男性,3例女性;平均年龄33.7岁)中收集了93份血浆样本,这些患者的膀胱温度维持在32-34摄氏度。每个样本分成两份,一份在37摄氏度的正常分析温度下测量PT(凝血酶原时间)和APTT(活化部分凝血活酶时间),另一份在32-34摄氏度的低温温度下测量。结果显示,在37摄氏度时PT和APTT往往比在32-34摄氏度时测得的结果短。因此,我们建议有必要对意外低温或接受低温治疗的患者的体温进行调节。