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输血与手术:对同基因肉瘤生长的影响

Blood transfusion and surgery: the effect on growth of a syngeneic sarcoma.

作者信息

Parrott N R, Lennard T W, Proud G, Shenton B K, Givan A, White M D, Taylor R

机构信息

Department of Surgery, University of Newcastle upon Tyne.

出版信息

Ann R Coll Surg Engl. 1990 Mar;72(2):77-81.

Abstract

The effects of blood transfusion, blood components, and surgical trauma on the growth of an experimental sarcoma have been examined. Recipient animals were inbred adult female WAB rats, which received allogeneic transfusions from inbred adult female PVG rats, syngeneic blood from inbred colony-mates, or saline infusions. Small volume transfusions (1-4 ml) of whole blood had no effect on tumour growth, but growth of the MC7 sarcoma was significantly enhanced following allogeneic transfusions of 5 ml whole blood, or when 4 ml was combined with sham laparotomy. Maximal enhancement of tumour growth occurred when 4 ml transfusions of allogeneic washed cells were given, but allogeneic plasma was also able, to a lesser degree, to enhance tumour growth. These data confirm that blood transfusion may enhance growth of the MC7 sarcoma, that the effect may be dose dependent, and synergistic with the immunosuppression of surgery. Many components of an allogeneic transfusion may be responsible for this effect.

摘要

已对输血、血液成分及手术创伤对实验性肉瘤生长的影响进行了研究。受体动物为近交成年雌性WAB大鼠,它们接受了来自近交成年雌性PVG大鼠的同种异体输血、来自近交同窝伙伴的同基因血液或生理盐水输注。小剂量(1 - 4毫升)全血输血对肿瘤生长无影响,但输注5毫升全血的同种异体输血后,或4毫升全血与假剖腹手术联合时,MC7肉瘤的生长显著增强。当输注4毫升同种异体洗涤细胞时,肿瘤生长增强最大,但同种异体血浆在较小程度上也能增强肿瘤生长。这些数据证实输血可能增强MC7肉瘤的生长,这种效应可能是剂量依赖性的,并且与手术引起的免疫抑制具有协同作用。同种异体输血的许多成分可能导致这种效应。

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