Spector J I, Wilson C B, Crosby W H
Am J Pathol. 1974 Mar;74(3):567-73.
Evidence of disseminated intravascular coagulation (DIC) was sought in New Zealand white rabbits infused with autologous, hemolyzed whole blood. Hemoglobinemia was induced in 17 rabbits by rapid intravenous injection of frozenthawed whole blood. Three dose regimens yielded mean peak plasma hemoglobin concentrations of 325, 615 and 860 mg/100 ml respectively (range 260 to 1050 mg/100 ml). Eleven control animals were infused with autologous, nonhemolyzed whole blood in similar doses. Rabbits were killed at either 15, 60, 120 or 180 minutes following infusion and multiple organ biopsies obtained immediately post-mortem. Coagulation studies demonstrated no significant alterations in prothrombin time, partial thromboplastin time, thrombin time or fibrinogen. Fibrin degradation products were not found. Histologic examination of lung, heart, liver, spleen and kidney revealed no fibrin deposition, thrombus formation or other abnormalities. We conclude from our study that induction of brief, experimental hemoglobinemia in New Zealand white rabbits, utilizing moderately large doses of autologous, hemolyzed whole blood, does not result in the development of DIC.
在输注自体溶血全血的新西兰白兔中寻找弥散性血管内凝血(DIC)的证据。通过快速静脉注射冻融全血,在17只兔子中诱发血红蛋白血症。三种剂量方案分别产生的平均血浆血红蛋白峰值浓度为325、615和860mg/100ml(范围为260至1050mg/100ml)。11只对照动物以相似剂量输注自体非溶血全血。在输注后15、60、120或180分钟处死兔子,并在死后立即获取多个器官活检样本。凝血研究表明,凝血酶原时间、部分凝血活酶时间、凝血酶时间或纤维蛋白原无显著改变。未发现纤维蛋白降解产物。对肺、心脏、肝脏、脾脏和肾脏的组织学检查未发现纤维蛋白沉积、血栓形成或其他异常。我们从研究中得出结论,利用适度大剂量的自体溶血全血在新西兰白兔中诱发短暂的实验性血红蛋白血症不会导致DIC的发生。