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[糖尿病昏迷的治疗:输液器械上胰岛素损失的定量值]

[The therapy of diabetic coma: quantitative value of insulin loss on the infusion instruments].

作者信息

Süess V, Froesch E R

出版信息

Schweiz Med Wochenschr. 1975 Oct 11;105(41):1315-8.

PMID:1215908
Abstract

The loss of insulin due to adsorption to glass and tubing has been quantitatively determined. The properties of albumin, plasma protein, gelatin, heparin and Rheomacrodex in the prevention of insulin adsorption have been tested. The loss of insulin given by intravenous infusion is reproducible and constant for any given situation. The loss of insulin increases as the ratio of volume to glass surface decreases and as the time of contact between insulin and glass is prolonged. There is an almost linear relationship between insulin loss and insulin concentration, as would be expected if insulin binding by glass was an unspecific phenomenon. Albumin and plasma protein almost completely prevent insulin adsorption. In most clinical situations the loss of insulin through adsorption to glass and tubing can be ignored, and hence no albumin or plasma protein needs to be added to the solution.

摘要

已对因吸附于玻璃和管道而导致的胰岛素损失进行了定量测定。已测试了白蛋白、血浆蛋白、明胶、肝素和右糖酐铁在预防胰岛素吸附方面的特性。对于任何给定情况,静脉输注胰岛素的损失是可重复且恒定的。随着体积与玻璃表面的比例降低以及胰岛素与玻璃接触时间延长,胰岛素损失增加。正如预期的那样,如果玻璃对胰岛素的结合是一种非特异性现象,那么胰岛素损失与胰岛素浓度之间几乎呈线性关系。白蛋白和血浆蛋白几乎完全可防止胰岛素吸附。在大多数临床情况下,因吸附于玻璃和管道而导致的胰岛素损失可忽略不计,因此无需在溶液中添加白蛋白或血浆蛋白。

相似文献

1
[The therapy of diabetic coma: quantitative value of insulin loss on the infusion instruments].[糖尿病昏迷的治疗:输液器械上胰岛素损失的定量值]
Schweiz Med Wochenschr. 1975 Oct 11;105(41):1315-8.
2
Insulin kinetics in hyperalimentation solution and routine intravenous therapy.高营养溶液和常规静脉治疗中的胰岛素动力学。
Am Surg. 1977 Dec;43(12):811-6.
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Protein adsorption to polymer particles: role of surface properties.
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[Adsorption of insulin directly added to infusion bottles].
Sem Hop. 1983 May 5;59(18):1405-8.
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Volumetric interpretation of protein adsorption: mass and energy balance for albumin adsorption to particulate adsorbents with incrementally increasing hydrophilicity.蛋白质吸附的体积解释:白蛋白吸附到亲水性逐渐增加的颗粒吸附剂上的质量和能量平衡。
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Effect of plasma dilution on adsorption of fibrinogen to solid surfaces.血浆稀释对纤维蛋白原吸附到固体表面的影响。
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Effect of whole blood on insulin adsorption onto intravenous infusion systems.全血对胰岛素吸附于静脉输液系统的影响。
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Characterization of insulin adsorption in the presence of albumin by time-of-flight secondary ion mass spectrometry and X-ray photoelectron spectroscopy.通过飞行时间二次离子质谱和X射线光电子能谱对白蛋白存在下胰岛素吸附的表征。
Langmuir. 2008 Jan 15;24(2):458-64. doi: 10.1021/la701850p. Epub 2007 Dec 12.

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Klin Wochenschr. 1979 Apr 1;57(7):357-9. doi: 10.1007/BF01476566.