Hentz J G, De Armendi A J, Schaeffer R
Ann Fr Anesth Reanim. 1986;5(2):157-9. doi: 10.1016/s0750-7658(86)80098-3.
A case of bronchospasm occurring after the termination of cardiopulmonary bypass is reported. The complement fractions C3a, C4a and C5a were measured before and right after CPB. Complement activation is not specific to CPB but may occur in any thoracotomy. The statistically significant increase in complement C3a without any pulmonary symptomatology has been reported by several authors. Complement activation cannot therefore be considered as the explanation of this bronchospasm.
本文报道了1例体外循环结束后发生支气管痉挛的病例。在体外循环前及刚结束后测量了补体成分C3a、C4a和C5a。补体激活并非体外循环所特有,在任何开胸手术中都可能发生。几位作者报告了补体C3a在无任何肺部症状的情况下有统计学意义的升高。因此,补体激活不能被视为该支气管痉挛的原因。