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犬冷藏全血随时间的止血能力。

Hemostatic capacity of canine chilled whole blood over time.

机构信息

US Army Institute of Surgical Research, Joint Base San Antonio, Fort Sam Houston, Texas, USA.

Department of Defense Military Working Dog Veterinary Service, Joint Base San Antonio-Lackland, Texas, USA.

出版信息

J Vet Emerg Crit Care (San Antonio). 2021 Mar;31(2):239-246. doi: 10.1111/vec.13055. Epub 2021 Mar 11.

Abstract

OBJECTIVE

To determine the hemostatic potential of canine chilled whole blood maintained at clinically relevant storage conditions.

DESIGN

In vitro experimental study.

SETTING

Government blood and coagulation research laboratory and government referral veterinary hospital.

ANIMALS

Ten healthy Department of Defense military working dogs.

INTERVENTIONS

One unit of fresh whole blood was collected from each of 10 military working dogs using aseptic technique. Blood was maintained in a medical-grade refrigerator for 28 days at 4°C (39°F) and analyzed before refrigeration (day 0) and after (days 2, 4, 7, 9, 11, 14, 21, and 28).

MEASUREMENTS AND MAIN RESULTS

Ten units of canine blood were analyzed with whole blood platelet aggregation, thromboelastography, CBC, biochemical analysis, blood gas, and prothrombin/activated partial thromboplastin/fibrinogen assay. Clotting strength of chilled blood was maintained up to 21 days despite significant decreases in platelet aggregation to ADP, collagen, or γ-thrombin, significant prolongation of prothrombin and activated partial thromboplastin times, and reduced speed of clot formation (K time, alpha angle). Fibrinogen concentration, WBC, RBC, and platelet counts did not change over time.

CONCLUSIONS

Chilled canine whole blood loses a small percentage of clot strength through 21 days of refrigerated storage. Further research is needed to determine if this hemostatic potential is clinically relevant in hemorrhaging dogs who require surgical intervention or are exposed to traumatic events.

摘要

目的

确定在临床相关储存条件下保存的冷藏犬全血的止血潜力。

设计

体外实验研究。

地点

政府血液和凝血研究实验室和政府转诊兽医医院。

动物

10 只健康的国防部工作犬。

干预

使用无菌技术从 10 只工作犬中各采集 1 单位新鲜全血。血液在医疗级冰箱中于 4°C(39°F)下保存 28 天,并在冷藏前(第 0 天)和冷藏后(第 2、4、7、9、11、14、21 和 28 天)进行分析。

测量和主要结果

对 10 份犬血样本进行了全血血小板聚集、血栓弹力图、CBC、生化分析、血气分析和凝血酶原/激活部分凝血活酶/纤维蛋白原测定。尽管 ADP、胶原蛋白或 γ-凝血酶诱导的血小板聚集显著降低,凝血酶原和激活部分凝血活酶时间显著延长,并且血块形成速度(K 时间,α 角)降低,但冷藏血的凝血强度仍维持至 21 天。纤维蛋白原浓度、WBC、RBC 和血小板计数随时间无变化。

结论

冷藏犬全血在冷藏储存 21 天后会失去一小部分凝血强度。需要进一步研究以确定在需要手术干预或暴露于创伤性事件的出血犬中,这种止血潜力是否具有临床相关性。

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