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透析和未透析尿毒症患者的红细胞变形性

Erythrocyte deformability in dialysed and non-dialysed uraemic patients.

作者信息

Inauen W, Stäubli M, Descoeudres C, Galeazzi R L, Straub P W

出版信息

Eur J Clin Invest. 1982 Apr;12(2):173-6. doi: 10.1111/j.1365-2362.1982.tb00955.x.

DOI:10.1111/j.1365-2362.1982.tb00955.x
PMID:6807689
Abstract

In thirty-one uraemic patients, fourteen on conservative treatment and seventeen on long-term haemodialysis, erythrocyte deformability, measured as filtration half-time in a paper filtration experiment, was studied. The two groups were comparable concerning age, sex and kidney disease. Although the mean filtration half-time for erythrocyte suspensions was normal in non-dialysed patients there was a positive linear correlation (P less than 0.01) between serum creatinine and filtration half-time in this group. Filtration half-time was increased in dialysed patients, indicating impaired deformability in the latter (P less than 0.001). Filtration half-time showed a good inverse correlation with the packed red cell volume in the non-dialysed (P less than 0.001) and in the dialysed group (P less than 0.01). As pre- and post-dialysis filtration half-times were the same, it appeared that the more severe uraemic state of dialysed patients was responsible for the impairment of erythrocyte deformability and not the dialysis procedure itself.

摘要

对31例尿毒症患者进行了研究,其中14例接受保守治疗,17例接受长期血液透析,通过滤纸过滤实验中的过滤半衰期来测定红细胞变形性。两组在年龄、性别和肾病方面具有可比性。尽管未透析患者红细胞悬液的平均过滤半衰期正常,但该组血清肌酐与过滤半衰期之间存在正线性相关(P<0.01)。透析患者的过滤半衰期增加,表明后者的变形性受损(P<0.001)。在未透析组(P<0.001)和透析组(P<0.01)中,过滤半衰期与红细胞压积呈良好的负相关。由于透析前和透析后的过滤半衰期相同,似乎是透析患者更严重的尿毒症状态导致了红细胞变形性受损,而不是透析过程本身。

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Erythrocyte deformability in dialysed and non-dialysed uraemic patients.透析和未透析尿毒症患者的红细胞变形性
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引用本文的文献

1
Enzymatic methyl esterification of erythrocyte membrane proteins is impaired in chronic renal failure. Evidence for high levels of the natural inhibitor S-adenosylhomocysteine.慢性肾衰竭时红细胞膜蛋白的酶促甲基酯化受损。存在高水平天然抑制剂S-腺苷同型半胱氨酸的证据。
J Clin Invest. 1993 Jun;91(6):2497-503. doi: 10.1172/JCI116485.
2
The clinical importance of erythrocyte deformability, a hemorrheological parameter.红细胞变形性这一血液流变学参数的临床重要性。
Ann Hematol. 1992 Mar;64(3):113-22. doi: 10.1007/BF01697397.