Dake S B, Johnston M F, Brueggeman P, Barner H B
Department of Surgery, St. Louis University School of Medicine, Missouri 63104.
Ann Thorac Surg. 1989 Jun;47(6):914-5. doi: 10.1016/0003-4975(89)90035-0.
A case is described in which hemagglutination occurred intraoperatively in cold blood flushed through the blood cardioplegia delivery system from a patient with unsuspected cold agglutinin disease. On initiating cardiopulmonary bypass and then selectively cooling the perfusate in the blood cardioplegia delivery system before inducing systemic cooling, it is possible to check for cold agglutination. Routine use of this technique may be worthwhile to detect cold agglutination in vitro before systemic cooling is begun in the rare patient with unsuspected cold agglutinins.
本文描述了一例病例，在使用冷血心脏停搏液输送系统冲洗来自一名未被怀疑患有冷凝集素病患者的血液时，术中发生了血凝反应。在开始体外循环，然后在诱导全身降温前选择性地冷却心脏停搏液输送系统中的灌注液时，可以检查是否存在冷凝集反应。对于罕见的未被怀疑患有冷凝集素的患者，在开始全身降温前常规使用该技术可能有助于在体外检测冷凝集反应。
