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锂改性吸附剂:对体外止血反应的影响。

Lithium-Modified Sorbent: Effects on Hemostatic Responses In Vitro.

机构信息

Research Institute of Clinical and Experimental Lymphology - Affiliated Branch of Federal Research Center Institute of Cytology and Genetics, Siberian Division of the Russian Academy of Sciences, Novosibirsk, Russia.

Altai Branch of National Medical Research Center of Hematology, Ministry of Health of the Russian Federation, Barnaul, Russia.

出版信息

Bull Exp Biol Med. 2023 Sep;175(5):690-694. doi: 10.1007/s10517-023-05927-7. Epub 2023 Oct 20.

DOI:10.1007/s10517-023-05927-7
PMID:37861899
Abstract

The effects of a lithium-modified sorbent based on aluminum oxide and polydimethylsiloxane (AlO@PDMS/Li) and a lithium-free sorbent (AlO@PDMS) on some indicators characterizing blood clotting under hemosorption conditions were compared in vitro. Sorbent AlO@PDMS/Li had significantly lower reactogenic effect on the blood passed through the column than the sorbent without lithium. This was seen from the degree of platelet reduction (66×10 vs 19×10/liter) as well as a less pronounced hypercoagulation shift in chronometric indicators. In contrast to lithium-free sorbent, AlO@PDMS/Li demonstrated the ability to reduce the concentration of fibrinogen. However, this had no impact on the density characteristics of the blood clot assessed by thromboelastometry such as maximum clot firmness, angle and fibrin clot formation time, amplitudes at 10 and 15 min after clotting time, which are known to depend on the quantity of platelets and the concentration of functionally active fibrinogen.

摘要

比较了基于氧化铝和聚二甲基硅氧烷的锂改性吸附剂(AlO@PDMS/Li)和无锂吸附剂(AlO@PDMS)在体外对血液吸附条件下一些凝血指标的影响。与不含锂的吸附剂相比,通过柱的血液的血小板减少程度(66×10 对 19×10/liter)以及计时指标中更不明显的高凝转移表明,吸附剂 AlO@PDMS/Li 对血液的反应性明显降低。与无锂吸附剂不同,AlO@PDMS/Li 表现出降低纤维蛋白原浓度的能力。然而,这对血栓弹性描记术评估的血液凝块的密度特征没有影响,例如最大凝块硬度、角和纤维蛋白凝块形成时间、凝血时间后 10 和 15 分钟的振幅,这些特征已知取决于血小板的数量和功能活性纤维蛋白原的浓度。

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本文引用的文献

1
Hemoperfusion: technical aspects and state of the art.血液灌流:技术层面与最新进展。
Crit Care. 2022 May 12;26(1):135. doi: 10.1186/s13054-022-04009-w.
2
Genetic and Epigenetic Markers of Lithium Response.锂反应的遗传和表观遗传标记。
Int J Mol Sci. 2022 Jan 29;23(3):1555. doi: 10.3390/ijms23031555.
3
Lithium treatment of Bipolar disorder in adults: A systematic review of randomized trials and meta-analyses.锂盐治疗成人双相情感障碍:随机试验和荟萃分析的系统评价。
Eur Neuropsychopharmacol. 2022 Jan;54:100-115. doi: 10.1016/j.euroneuro.2021.10.003.
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Implication of serum concentration monitoring in patients with lithium intoxication.血清浓度监测在锂中毒患者中的意义。
Psychiatry Clin Neurosci. 2004 Feb;58(1):25-9. doi: 10.1111/j.1440-1819.2004.01188.x.
5
Calibrated automated thrombin generation measurement in clotting plasma.凝血血浆中校准的自动凝血酶生成测量。
Pathophysiol Haemost Thromb. 2003;33(1):4-15. doi: 10.1159/000071636.