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健康成年犬全血凝血的Sonoclot评估

Sonoclot evaluation of whole blood coagulation in healthy adult dogs.

作者信息

Babski Danielle M, Brainard Benjamin M, Krimer Paula M, Ralph Alan G, Pittman Jennifer R, Koenig Amie

机构信息

Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.

出版信息

J Vet Emerg Crit Care (San Antonio). 2012 Dec;22(6):646-52. doi: 10.1111/j.1476-4431.2012.00820.x.

Abstract

OBJECTIVE

To establish a standard protocol for analysis of canine whole blood and generate reference intervals for healthy dogs using the Sonoclot analyzer, and to compare Sonoclot values to standard and viscoelastic coagulation tests.

DESIGN

Prospective study.

SETTING

Veterinary University research facility and teaching hospital.

ANIMALS

Twelve healthy random source dogs and 52 healthy dogs from the general veterinary school population.

INTERVENTIONS

Blood sampling for viscoelastic coagulation testing.

MEASUREMENTS AND MAIN RESULTS

Blood was collected from 12 healthy adult dogs by jugular venipuncture. After a rest period at room temperature of 30, 60, or 120 minutes, 340 μL of citrated blood was added to 20 μL of 0.2 M CaCl(2) in 1 of 2 cuvette types warmed to 37° C. Cuvettes contained a magnetic stir-bar with glass beads (gbACT+) or only a magnetic stir-bar (nonACT). Reference interval samples were collected from 52 healthy adult dogs and analyzed in duplicate. The ACT, CR, and PF were not affected by duration of rest period for either cuvette type. ACT variability was decreased when using gbACT+ cuvettes (P < 0.05). In normal dogs reference intervals (mean ± 2 SD) using gbACT+ cuvettes were: ACT 56.0-154.0 seconds, CR 14.85-46.0, and PF 2.1-4.05. ACT correlated to TEG R-time, K-time, and angle, while CR correlated with all TEG parameters. Fibrinogen correlated with ACT, CR, and PF. Sonoclot did not correlate with other common coagulation tests.

CONCLUSIONS

Sonoclot provides viscoelastic evaluation of canine whole blood coagulation and correlated to several TEG parameters and fibrinogen. A standard protocol and reference intervals were established.

摘要

目的

建立使用Sonoclot分析仪分析犬全血的标准方案,并为健康犬生成参考区间,同时将Sonoclot值与标准和粘弹性凝血试验进行比较。

设计

前瞻性研究。

地点

兽医大学研究设施和教学医院。

动物

12只健康的随机来源犬和52只来自普通兽医学院的健康犬。

干预措施

进行粘弹性凝血测试的血液采样。

测量和主要结果

通过颈静脉穿刺从12只健康成年犬采集血液。在室温下静置30、60或120分钟后,将340μL枸橼酸盐血加入到2种预热至37°C的比色皿类型之一中20μL的0.2M氯化钙中。比色皿中含有带玻璃珠的磁力搅拌棒(gbACT+)或仅含有磁力搅拌棒(nonACT)。从52只健康成年犬收集参考区间样本并进行重复分析。两种比色皿类型的活化凝血时间(ACT)、凝血速率(CR)和血小板功能(PF)均不受静置时间的影响。使用gbACT+比色皿时ACT变异性降低(P<0.05)。在正常犬中,使用gbACT+比色皿的参考区间(平均值±2标准差)为:ACT 56.0 - 154.0秒,CR 14.85 - 46.0,PF 2.1 - 4.05。ACT与血栓弹力图(TEG)的R时间、K时间和角度相关,而CR与所有TEG参数相关。纤维蛋白原与ACT、CR和PF相关。Sonoclot与其他常见凝血试验不相关。

结论

Sonoclot可对犬全血凝血进行粘弹性评估,并与多个TEG参数及纤维蛋白原相关。建立了标准方案和参考区间。

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