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机械应力在亚溶血水平激活血小板:一项体外研究。

Mechanical stress activates platelets at a subhemolysis level: an in vitro study.

作者信息

Bakir Ihsan, Hoylaerts Marc F, Kink Thomas, Foubert Luc, Luyten Peter, Van Kerckhoven Soetkin, Leunens Veerle, Bollen Hilde, Reul Helmut, Meyns Bart

机构信息

Center for Experimental Surgery and Anesthesiology, Cardiovascular Research Unit, Catholic University of Leuven (KUL), Leuven, Belgium.

出版信息

Artif Organs. 2007 Apr;31(4):316-23. doi: 10.1111/j.1525-1594.2007.00381.x.

Abstract

A feasibility study is performed to quantify sheep platelets (PLTs) and to identify the relationship between PLT count and hemolysis as a consequence of mechanical stress. Six adult, healthy Dorset sheep have been used for in vitro blood sampling test procedures in a hemoresistometer device (HRM). In each experiment, blood of the same animal was exposed to six different shear rates. Free hemoglobin levels and PLT count for each shear rate were detected. In all animals (A-F), hemolysis increased significantly between the shear rates of 2325 and 3100/s (P < 0.05) and the mean PLT count dropped immediately (contact, low shear) 40% in the beginning, between the shear rates of 0 and 775/s (P < 0.05). PLT count increased slightly as soon as hemolysis started. At higher shear rates, hemolysis increased and PLTs reduced further. Precise counting of PLTs indicates that PLTs are consumed dramatically at very low shear (by contact) and further by applied mechanical stress when hemolysis is obvious. A repetition of these tests with human blood could indicate species differences.

摘要

进行了一项可行性研究,以量化绵羊血小板(PLT),并确定由于机械应力导致的血小板计数与溶血之间的关系。六只成年健康多塞特绵羊被用于在血液流变仪装置(HRM)中进行体外血液采样测试程序。在每个实验中,同一只动物的血液暴露于六种不同的剪切速率。检测每种剪切速率下的游离血红蛋白水平和血小板计数。在所有动物(A - F)中,在2325和3100/s的剪切速率之间溶血显著增加(P < 0.05),并且在0和775/s的剪切速率之间,平均血小板计数在开始时立即(接触,低剪切)下降40%(P < 0.05)。一旦溶血开始,血小板计数略有增加。在较高的剪切速率下,溶血增加且血小板进一步减少。血小板的精确计数表明,在非常低的剪切力(通过接触)下血小板大量消耗,并且在溶血明显时,由于施加的机械应力血小板进一步消耗。用人血重复这些测试可能会显示出物种差异。

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