Ernst E, Schmidt-Pauly E, Mühlig P, Matrai A
Br J Surg. 1987 Apr;74(4):301-2. doi: 10.1002/bjs.1800740424.
Eighteen patients with bone fractures and without systemic disease were studied for blood rheology. Blood and plasma viscosities, haematocrit, red cell aggregation and filterability as well as plasma colloid oncotic pressure were measured. Results show that patients exhibit a substantial haemorheological deficit on admission. During bedrest this returns to normal, owing to marked 'autohaemodilution'. It is concluded that trauma causes increased viscosity of blood in these patients. This change could predispose to deep vein thrombosis. However, such a risk is reduced by 'autohaemodilution' which is most probably an effect of immobilization.
对18例无全身性疾病的骨折患者进行了血液流变学研究。测量了血液和血浆粘度、血细胞比容、红细胞聚集性和滤过率以及血浆胶体渗透压。结果显示,患者入院时存在明显的血液流变学缺陷。在卧床休息期间,由于明显的“自身血液稀释”,这种情况恢复正常。得出的结论是,创伤导致这些患者的血液粘度增加。这种变化可能易引发深静脉血栓形成。然而,“自身血液稀释”降低了这种风险,“自身血液稀释”很可能是固定不动的一种效应。