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[新生儿红细胞柔韧性降低]

[Decreased flexibility of newborn infant erythrocytes].

作者信息

Tillmann W, Wagner D, Schröter W

出版信息

Blut. 1977 Apr;34(4):281-8. doi: 10.1007/BF00996204.

Abstract

The rheological properties of erythrocytes of 10 full-term infants were studied. A method of filtration and measurements of viscosity of erythrocyte suspensions with a hematocrit of 80% were used. Erythrocytes of newborn infants were less flexible than erythrocytes of healthy adults. Rigidity of erthrocytes was due to an increased hemoglobin content of the erythrocyte membranes which was measured in isolated ghosts. After incubation of the cells with acetylphenylhydrazin Heinz-bodies were formed in the erthrocytes of adults. The flexiblity of these cells decreased markedly. More Heinz-bodies were found in the erythrocytes on the newborn infants, when their cells were incubated under identical conditions. These erythrocytes became more rigid than the erythrocytes of adults. From these results we conclude that the more rigid erythrocytes of the newborn infants would not pass the splenic sinus, especially when they contain Heinz-bodies. The rheological properties of the erythrocytes of newborn infants explain the shortened life-span of red cells of newborn infants.

摘要

对10名足月婴儿的红细胞流变学特性进行了研究。采用了一种对血细胞比容为80%的红细胞悬液进行过滤和粘度测量的方法。新生儿的红细胞比健康成年人的红细胞柔韧性更差。红细胞的刚性是由于红细胞膜中血红蛋白含量增加所致,这是在分离的血影中测量得到的。用乙酰苯肼孵育细胞后,成年人的红细胞中形成了海因茨小体。这些细胞的柔韧性明显降低。当新生儿的细胞在相同条件下孵育时,在其红细胞中发现了更多的海因茨小体。这些红细胞比成年人的红细胞变得更硬。从这些结果我们得出结论,新生儿更硬的红细胞不会通过脾窦,尤其是当它们含有海因茨小体时。新生儿红细胞的流变学特性解释了新生儿红细胞寿命缩短的原因。

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