Stephan H, Larsen R, Sonntag H
Anaesthesist. 1985 Jul;34(7):352-4.
30 units of stored blood of different age were rewarmed from 4 degrees C to 32 degrees C by microwave blood-warmer Infusotherm 407. The resulting damage to blood components and change of function of erythrocytes were compared with those caused by storage of CPD-blood. Dependent on the age of stored blood we found considerable increases in the plasma-levels of potassium, lactate, and free haemoglobin. Compared with cold CPD-blood rewarming of stored blood produced a 7% increase in lactate and a 8% increase in free haemoglobin. There were no changes in platelet and erythrocyte counts, haematocrit, plasma-levels of haemoglobin, electrolytes, cholesterol, blood viscosity, osmotic resistance, and oxygen-binding capacity. As damage of stored blood produced by warming is minimal compared with that produced by storage, the Infusotherm 407 is considered to be a clinically useful blood-warmer.
采用Infusotherm 407型微波血液加温器将30单位不同保存时间的库存血从4℃复温至32℃。将由此导致的血液成分损伤及红细胞功能变化与CPD保存血储存所造成的损伤及变化进行比较。根据库存血的保存时间,我们发现血浆中钾、乳酸和游离血红蛋白水平显著升高。与冷CPD保存血相比,库存血复温后乳酸增加7%,游离血红蛋白增加8%。血小板和红细胞计数、血细胞比容、血浆血红蛋白水平、电解质、胆固醇、血液粘度、渗透抵抗力及氧结合能力均无变化。由于与储存造成的损伤相比,加温导致的库存血损伤极小,因此Infusotherm 407型加温器被认为是临床上实用的血液加温器。