Concannon K T, Haskins S C, Feldman B F
Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis 95616.
Am J Vet Res. 1992 Aug;53(8):1369-75.
We investigated changes in hemostatic function after infusion of 6% dextran 70 (high molecular weight dextran) at 2 rates. Six healthy dogs underwent 3 regimens: 20 ml of dextran/kg of body weight administered in 1 hour (trial A), 20 ml of dextran/kg administered in 30 minutes (trial B), and 0.9% sodium chloride solution as a control administered over 1 hour to achieve hemodilution equivalent to that for 20 ml of dextran/kg (trial C). Before and at 2, 4, 8, and 24 hours after the start of trials A and B, we measured PCV, total solids (TS) concentration, amount of von Willebrand factor antigen (vWf:Ag), factor VIII coagulant activity (VIII:C), prothrombin time, activated partial thromboplastin time (APTT), platelet retention in a glass bead column, and buccal mucosa bleeding time (BMBT). Values were not obtained at 8 and 24 hours for trial C. Saline-induced changes in hemostasis were significant (P less than 0.05) from baseline throughout the sample collection period. Significant differences (P less than 0.05) between trial A and control were observed for vWf:Ag, VIII:C, BMBT, APTT, TS, and PCV values at 2 hours, and for VIII:C at 4 hours. Significant differences (P less than 0.05) between trial B and control were observed for APTT, TS, and PCV values at 2 hours, and for vWf:Ag, VIII:C, BMBT, APTT, TS, and PCV values at 4 hours. During trials A and B, mean values of analytes infrequently deviated from reference intervals, and clinical signs of bleeding were not observed in any dog.(ABSTRACT TRUNCATED AT 250 WORDS)
我们以两种速率输注6%右旋糖酐70(高分子量右旋糖酐)后,研究了止血功能的变化。六只健康犬接受了三种方案:以每小时20ml右旋糖酐/千克体重的速率给药1小时(试验A);以30分钟内输注20ml右旋糖酐/千克体重的速率给药(试验B);以及以每小时输注0.9%氯化钠溶液作为对照,以达到与20ml右旋糖酐/千克体重等效的血液稀释效果(试验C)。在试验A和B开始前以及开始后的2、4、8和24小时,我们测量了血细胞比容(PCV)、总固体(TS)浓度、血管性血友病因子抗原(vWf:Ag)量、凝血因子VIII促凝活性(VIII:C)、凝血酶原时间、活化部分凝血活酶时间(APTT)、玻璃珠柱中的血小板滞留率以及颊黏膜出血时间(BMBT)。试验C在8小时和24小时未获得相关值。在整个样本采集期间,盐水诱导的止血变化与基线相比具有显著差异(P<0.05)。在2小时时,试验A与对照组之间,vWf:Ag、VIII:C、BMBT、APTT、TS和PCV值存在显著差异(P<0.05);在4小时时,VIII:C存在显著差异。在2小时时,试验B与对照组之间,APTT、TS和PCV值存在显著差异(P<0.05);在4小时时,vWf:Ag、VIII:C、BMBT、APTT、TS和PCV值存在显著差异。在试验A和B期间,分析物的平均值很少偏离参考区间,且未在任何犬中观察到出血的临床体征。(摘要截短至250字)