Schuster H, Gerstmeyer A, Scheller F, Strauss D
Gebietsblutspendezentrale, Bezirkskrankenhauses, Dr. Salvador Alle Schwedt/Oder.
Folia Haematol Int Mag Klin Morphol Blutforsch. 1987;114(6):895-902.
The elimination of sucrose from the blood and its renal excretion was analysed in 108 patients after applying a total of 394 transfusion units (TE), resuspended, buffy-coat-free erythrocyte concentrates (EK) containing 23 mmol of sucrose per TE. In transfusing 3 TE even 90% of the sucrose were eliminated from the blood during the application time and up to 99% within 3 h, nearly 80% were excreted through the kidneys within 12 h. Elimination and excretion were delayed with impaired kidney function. With respect to intravasal elimination of sucrose bilaterally nephrectomized patients have to rely on hemodialysis. Side-effects of sucrose due to extended intravasal and interstitial duration could not be observed in those patients affected with decreased kidney efficiency and after massive transfusions.
在108例患者中,应用了总共394个输血单位(TE)的无白细胞浓缩红细胞(EK),每个TE含有23 mmol蔗糖,分析了血液中蔗糖的清除及其经肾脏的排泄情况。输注3个TE时,即使在输注期间90%的蔗糖也从血液中清除,3小时内可达99%,近80%在12小时内通过肾脏排泄。肾功能受损时,清除和排泄会延迟。对于双侧肾切除患者,蔗糖的血管内清除必须依靠血液透析。在肾功能下降的患者和大量输血后,未观察到由于血管内和组织间隙停留时间延长而导致的蔗糖副作用。