Harke H, Thoenies R, Margraf I, Momsen W
Anaesthesist. 1976 Aug;25(8):366-73.
It has been shown in clinical experiments that plasma substitutes generally have a specific-colloidal influence on special parts of the clotting system. These changes are predominant after infusion of dextran, since on one hand there is an inhibition of platelet function, and on the other hand a decrease in the activity of plasmatic clotting factors. It is to be emphasized that hydroxyethyl starch and with some restrictions even gelatins cause a comparable inhibition of platelet function. These reactions are due to colloid-specific effects only, which have been unknown up to now. Activities of plasmatic clotting factors, however, are not influenced by these substitutes.
临床实验表明,血浆代用品通常对凝血系统的特定部分具有特定的胶体影响。这些变化在输注右旋糖酐后最为显著,因为一方面血小板功能受到抑制,另一方面血浆凝血因子的活性降低。需要强调的是,羟乙基淀粉甚至在一定程度上明胶也会对血小板功能产生类似的抑制作用。这些反应仅归因于胶体特异性效应,而这种效应至今尚不为人所知。然而,血浆凝血因子的活性不受这些代用品的影响。