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氧化聚明胶和右旋糖酐70对犬止血变量的影响。

Effects of oxypolygelatin and dextran 70 on hemostatic variables in dogs.

作者信息

Glowaski Maria M, Moon-Massat Paula F, Erb Hollis N, Barr Stephen C

机构信息

Cornell University, College of Veterinary Medicine, Veterinary Medical Teaching Hospital, Ithaca, NY, USA.

出版信息

Vet Anaesth Analg. 2003 Oct;30(4):202-10. doi: 10.1046/j.1467-2995.2003.00111.x.

Abstract

OBJECTIVE

To evaluate and compare coagulation variables following the administration of oxypolygelatin and dextran 70 to clinically healthy dogs.

STUDY DESIGN

Randomized cross-over experimental study.

ANIMALS

A total of eight healthy adult female Beagles aged 2-4 years old and weighing 11.8 +/- 2.7 kg.

METHODS

The dogs received a 15-minute intravenous (IV) infusion of 5 mL kg-1 oxypolygelatin or 10 mL kg-1 6% dextran 70. Before (PRE) and at 2, 5, and 24 hours after administration, packed cell volume (PCV), total solids concentration (TS), prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen concentration (FIB), platelet numbers (Plat), factor VIII coagulant activity (VIII:C), von Willebrand factor antigen concentration (vWf:Ag) and platelet function and buccal mucosal bleeding time (BMBT) were measured. Platelet function was assessed using aggregation and by measuring ATP release from aggregating platelets over 6 minutes, with 20, 10, and 5 micro m ADP and 5 and 10 micro g of collagen mL-1 as platelet activation agonists.

RESULTS

All baseline values were within our normal ranges, except for one dog that had low vWf:Ag PRE values prior to both dextran and oxypolygelatin administration. Following dextran and oxypolygelatin administration, the PCV and TP were significantly (p < 0.05) decreased. Plat, FIB, and vWf:Ag decreased, while BMBT and VIII:C increased following dextran administration. Dextran also caused a significant decrease in platelet aggregation in response to ADP. Oxypolygelatin caused a significant decrease in vWf:Ag, Plat, and FIB compared to PRE values. The total amount of ATP released, standardized to platelet number, did not vary significantly for either group at any sampling time from PRE values. No significant changes from PRE values were noted at any time in either group for PT or APTT.

CONCLUSION

At the doses administered, both dextran and oxypolygelatin can interfere with hemostatic variables in healthy dogs, but dextran's effect is more profound and prolonged when compared to oxypolygelatin.

CLINICAL RELEVANCE

Oxypolygelatin causes fewer hemostatic abnormalities when compared to dextran, making it a superior colloid for administration at the doses tested.

摘要

目的

评估并比较向临床健康犬输注氧化聚明胶和右旋糖酐70后的凝血变量。

研究设计

随机交叉实验研究。

动物

总共8只健康成年雌性比格犬,年龄2 - 4岁,体重11.8±2.7千克。

方法

给犬静脉输注15分钟,剂量为5 mL/kg的氧化聚明胶或10 mL/kg的6%右旋糖酐70。在给药前(PRE)以及给药后2、5和24小时,测量血细胞比容(PCV)、总固体浓度(TS)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原浓度(FIB)、血小板数量(Plat)、凝血因子VIII促凝活性(VIII:C)、血管性血友病因子抗原浓度(vWf:Ag)以及血小板功能和口腔黏膜出血时间(BMBT)。使用聚集法并通过测量聚集血小板在6分钟内释放的ATP来评估血小板功能,以20、10和5 μmol ADP以及5和10 μg/mL的胶原蛋白作为血小板激活激动剂。

结果

所有基线值均在我们的正常范围内,但有一只犬在给予右旋糖酐和氧化聚明胶之前,其vWf:Ag PRE值较低。给予右旋糖酐和氧化聚明胶后,PCV和TP显著(p < 0.05)降低。给予右旋糖酐后,Plat、FIB和vWf:Ag降低,而BMBT和VIII:C升高。右旋糖酐还导致对ADP的血小板聚集显著降低。与PRE值相比,氧化聚明胶导致vWf:Ag、Plat和FIB显著降低。在任何采样时间,两组中按血小板数量标准化的ATP释放总量与PRE值相比均无显著差异。两组在任何时间的PT或APTT与PRE值相比均无显著变化。

结论

在所给剂量下,右旋糖酐和氧化聚明胶均可干扰健康犬的止血变量,但与氧化聚明胶相比,右旋糖酐的作用更显著且持续时间更长。

临床意义

与右旋糖酐相比,氧化聚明胶引起的止血异常较少,使其在所测试剂量下成为更优的胶体。

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