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右旋糖酐和白蛋白等容血液稀释对植入兔腹主动脉的人工血管移植物中血栓形成的影响。

Effect of isovolemic hemodilution with dextran and albumin on thrombus formation in artificial vessel grafts inserted into the abdominal aorta of the rabbit.

作者信息

Frost-Arner L, Bergqvist D

机构信息

Department of Plastic and Reconstructive Surgery, Malmö General Hospital, Sweden.

出版信息

Microsurgery. 1995;16(5):357-61. doi: 10.1002/micr.1920160513.

Abstract

The effects of isovolemic hemodilution with dextran-70 and albumin on thrombus formation in artificial arterial grafts were investigated. A polytetrafluoroethylene graft (PTFE, length 13 mm, inner diameter 3 mm) was inserted into the abdominal aorta of rabbits. Three groups of animals were studied; 1) animals receiving isovolemic hemodilution with dextran-70 (10 ml/kg body weight), 2) animals receiving isovolemic hemodilution with albumin (10 ml/kg body weight), and 3) nonhemodiluted controls. The blood flow increased by about 70% and 60% after the hemodilution with dextran and albumin, respectively, and remained high in the hemodiluted animals, after insertion of the graft. After 2 days, the vessel graft was removed and weighed. The thrombus mass was separately weighed. The results suggest that isovolemic hemodilution with both albumin and dextran is associated with a marked increase in blood flow in the rabbit. Hemodilution with dextran also reduced the amount of thrombus formation on the inner wall of the graft.

摘要

研究了用右旋糖酐-70和白蛋白进行等容血液稀释对人造动脉移植物中血栓形成的影响。将聚四氟乙烯移植物(PTFE,长度13毫米,内径3毫米)插入兔腹主动脉。研究了三组动物;1)接受右旋糖酐-70等容血液稀释(10毫升/千克体重)的动物,2)接受白蛋白等容血液稀释(10毫升/千克体重)的动物,3)未进行血液稀释的对照动物。用右旋糖酐和白蛋白进行血液稀释后,血流量分别增加了约70%和60%,并且在植入移植物后,血液稀释动物的血流量保持在较高水平。2天后,取出血管移植物并称重。分别称取血栓质量。结果表明,白蛋白和右旋糖酐的等容血液稀释均与兔血流量的显著增加有关。用右旋糖酐进行血液稀释还减少了移植物内壁上血栓形成的量。

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