Walpot H, Franke R P, Burchard W G, Agternkamp C, Müller F G, Mittermayer C, Kalff G
Klinik für Anästhesiologie, Medizinischen Fakultät, Rheinisch-Westfälischen Technischen Hochschule Aachen.
Infusionstherapie. 1989 Apr;16(2):77-80.
When i.v. solutions are used, a considerable amount of particulate matter is washed into the patient. This particulate matter consists mainly of glass from ampoules, plastic materials from infusion sets, rubber from the rubber stoppers of infusion bottles and various materials, partly derived from the manufacturing process of the solutions. A new method of particle counting is introduced here (modified thrombocyte counter, Becton Dickinson), whereby particulate matter (less than 2 microns, greater 0.8 microns) could be counted for the first time. Using this counting method, the efficiency of the standard filtration (DIN 58362) was tested. Also tested were 2 new final filtration systems (with 15 microns and 5 microns pore-size). All 3 filtration methods were shown to be ineffective; especially small particles (less than 2 microns) cannot be eliminated by these filtration methods.
当使用静脉输液溶液时,大量颗粒物会被冲入患者体内。这些颗粒物主要由安瓿瓶的玻璃、输液器的塑料材料、输液瓶橡胶塞的橡胶以及各种材料组成,部分材料源自溶液的生产过程。本文介绍了一种新的颗粒计数方法(改良血小板计数器,Becton Dickinson),通过该方法首次能够对颗粒物(小于2微米,大于0.8微米)进行计数。使用这种计数方法,对标准过滤(DIN 58362)的效率进行了测试。还测试了两种新的终端过滤系统(孔径分别为15微米和5微米)。结果表明,所有这三种过滤方法均无效;尤其是小颗粒(小于2微米)无法通过这些过滤方法去除。