Derzsiová K, Mydlík M, Petríková V, Vzenteková T, Molcányiová A
IV. interná klinika, Fakultná nemocnica s poliklinikou, Kosice.
Cas Lek Cesk. 1991 Jan 4;130(1):11-4.
The authors made 30 haemoperfusions of theophylline in vitro in a closed system, using capsules Hemasorb 800 C, Hemasorb 800 A-2 and 800 A-4. As perfusion solution they used 4 litres of aqueous solution with an osmolality of 286 mmol/kg. The theophylline concentration in solution was 282.8 +/- 5.2 mumol/l. Individual haemoperfusions lasted 5 hours. After the theophylline solution has passed across Hemasorb A-4 the concentration of the substance could be assessed at all time intervals and during the 180th minute the theophylline concentration could be detected also before entering the haemoperfusion capsule. When using Hemasorb 800 A-2, the adsorption capacity of the haemoperfusion capsule was exhausted already during the 180th minute. The assembled results suggested that the most effective theophylline haemoperfusion in vitro was obtained with Hemasorb 800 A-4 and the least effective one with Hemasorb 800 A-2. The authors recommend to use in acute intoxication with theophylline in humans haemoperfusion via Hemasorb 800 A-4.
作者在封闭系统中使用Hemasorb 800 C、Hemasorb 800 A - 2和800 A - 4胶囊进行了30次茶碱体外血液灌流。他们用4升渗透压为286 mmol/kg的水溶液作为灌流液。溶液中茶碱浓度为282.8±5.2μmol/l。每次血液灌流持续5小时。在茶碱溶液通过Hemasorb A - 4后,可在所有时间间隔评估该物质的浓度,并且在第180分钟时,在进入血液灌流胶囊之前也能检测到茶碱浓度。使用Hemasorb 800 A - 2时,血液灌流胶囊的吸附能力在第180分钟时就已耗尽。综合结果表明,体外最有效的茶碱血液灌流是使用Hemasorb 800 A - 4获得的,而最无效的是使用Hemasorb 800 A - 2。作者建议在人类茶碱急性中毒时通过Hemasorb 800 A - 4进行血液灌流。