Atallah M M, Motawea A A, el-Chennawy F A, Attallah A F
Urology and Nephrology Centre, University of Mansoura, Egypt.
Eur J Anaesthesiol. 1991 Nov;8(6):459-64.
Venous blood samples were obtained from 30 patients undergoing surgical intervention, as well as 25 anaesthetists and operating-room personnel. Twenty non-exposed physicians served as a control group. Blood samples were subjected to total and differential leucocyte counts, T- and B-lymphocyte counts, serum immunoglobulin estimation, and in-vitro T-lymphocyte proliferative response to Con A-mitogen. In comparison with values from control subjects, halothane anaesthesia resulted in an increased number of T- and B-lymphocytes, whilst the serum immunoglobulins level and lymphoproliferative response were decreased. Three days after surgery, all the estimated parameters had returned to the pre-operative value. Chronic exposure to trace halothane concentrations resulted in decreased proliferative responses, lymphocytosis, and decreased immunoglobulins levels. It is concluded that halothane has different effects on the human immune system, depending on the particular conditions of the groups studied.
从30名接受外科手术干预的患者以及25名麻醉师和手术室工作人员身上采集静脉血样。20名未接触过的医生作为对照组。对血样进行白细胞总数和分类计数、T淋巴细胞和B淋巴细胞计数、血清免疫球蛋白测定,以及体外T淋巴细胞对刀豆蛋白A促细胞分裂剂的增殖反应。与对照组受试者的值相比,氟烷麻醉导致T淋巴细胞和B淋巴细胞数量增加,而血清免疫球蛋白水平和淋巴细胞增殖反应降低。术后三天,所有估计参数均恢复到术前值。长期接触微量氟烷浓度会导致增殖反应降低、淋巴细胞增多症和免疫球蛋白水平降低。得出的结论是,根据所研究群体的具体情况,氟烷对人体免疫系统有不同影响。