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[持续灌注作用下心脏手术患者冷冻保存红细胞的形态学变化]

[Morphological changes of cryopreserved erythrocytes in heart surgery patients under effects of continuous perfusion].

作者信息

Shilov V V, Novozhilova A P, Sudus A V

出版信息

Vestn Khir Im I I Grek. 1997;156(6):49-52.

PMID:9505388
Abstract

Cryopreserved erythrocytes with the period of storage from 5 to 12 months were studied in 10 cardiosurgical patients under conditions of scanning electron microscopy. It was established that among unfrozen erythrocytes of patients with rheumatic diseases of the heart there were (84.25 +/- 0.7)% of normocytes and only (4.25 +/- 1.03)% of deformed cells. During the experimental perfusion the amount of normocytes decreased to (57.50 +/- 1.80)% and the amount of destroyed normocytes inconsiderably increased by the 4th hour of perfusion. The intermediate forms of erythrocytes had a clear tendency to an increase of their amount. The results obtained can show that cryoerythrocytes of cardiosurgical patients are sufficiently resistant to unfavorable factors of the artificial blood circulation, are not inferior to donor erythrocytes by their morphological properties and can be taken as a basis for transfusion therapy in operations on the open heart.

摘要

在扫描电子显微镜条件下,对10例心脏外科手术患者中储存期为5至12个月的冷冻红细胞进行了研究。结果表明,在患有风湿性心脏病的患者未冷冻红细胞中,正常红细胞占(84.25±0.7)%,而变形细胞仅占(4.25±1.03)%。在实验性灌注过程中,正常红细胞数量减少至(57.50±1.80)%,到灌注第4小时,被破坏的正常红细胞数量略有增加。红细胞的中间形式有明显的数量增加趋势。所获得的结果表明,心脏外科手术患者的冷冻红细胞对人工循环的不利因素具有足够的抵抗力,其形态学特性不低于供体红细胞,可作为心脏直视手术中输血治疗的基础。

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