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储存血液及输血后接受手术患者体内的抗坏血酸水平。

Ascorbic acid levels in stored blood and in patients undergoing surgery after blood transfusion.

作者信息

McGinn F P, Hamilton J C

出版信息

Br J Surg. 1976 Jul;63(7):505-7. doi: 10.1002/bjs.1800630702.

DOI:10.1002/bjs.1800630702
PMID:953445
Abstract

Blood was obtained from 11 healthy voluteers, mixed with two standard types of anticoagulant used in blood transfusion centres and stored for 21-28 days at 4 degrees C. Leucocyte ascorbic acid (LAA) fell to deficient levels after 7 days in all cases. There were no corresponding changes in plasma ascorbic acid (PAA) levels. LAA and PAA were measured before, during and after surgery in 5 control patients who underwent definitive operations for benign peptic ulceration and in 4 patients under-going surgery for bleeding peptic ulceration. The average amount of blood administered to the latter group was 10 units. There was a fall in LAA and PAA in both groups of patients after operation. This fall had returned to normal by 7 days in the controls, but the LAA remained at a deficient level at 7 days in the patients who had bled. Deficient ascorbic acid in stored blood may contribute to low leucocyte ascorbic acid levels in patients after blood transfusion and may contribute to the increased complication rate when surgery is undertaken in these patients.

摘要

从11名健康志愿者身上采集血液,与输血中心使用的两种标准抗凝剂混合,并在4摄氏度下储存21至28天。在所有情况下,白细胞中的维生素C(LAA)在7天后降至缺乏水平。血浆维生素C(PAA)水平没有相应变化。对5例接受良性消化性溃疡根治手术的对照患者和4例因消化性溃疡出血接受手术的患者在手术前、手术期间和手术后测量了LAA和PAA。后一组患者平均输血量为10单位。两组患者术后LAA和PAA均下降。对照组中这种下降在7天时恢复正常,但出血患者在7天时LAA仍处于缺乏水平。储存血液中维生素C缺乏可能导致输血后患者白细胞维生素C水平降低,并可能导致这些患者进行手术时并发症发生率增加。

相似文献

1
Ascorbic acid levels in stored blood and in patients undergoing surgery after blood transfusion.储存血液及输血后接受手术患者体内的抗坏血酸水平。
Br J Surg. 1976 Jul;63(7):505-7. doi: 10.1002/bjs.1800630702.
2
Effect of vagotomy on ascorbic acid nutrition in patients with peptic ulcer.迷走神经切断术对消化性溃疡患者抗坏血酸营养状况的影响。
Br Med J. 1972 Jun 24;2(5816):738-40. doi: 10.1136/bmj.2.5816.738.
3
The effect of acute illness on leucocyte and plasma ascorbic acid levels.急性疾病对白细胞及血浆中维生素C水平的影响。
Br J Nutr. 1977 Sep;38(2):217-23. doi: 10.1079/bjn19770081.
4
Effects of haemorrhage upon surgical operations.出血对外科手术的影响。
Br J Surg. 1976 Oct;63(10):742-6. doi: 10.1002/bjs.1800631005.
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Urinary hydroxyproline in the elderly with low leucocyte ascorbic acid levels.白细胞中维生素C水平较低的老年人的尿羟脯氨酸
Br Med J. 1970 Mar 21;1(5698):732-3. doi: 10.1136/bmj.1.5698.732.
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Is leucocyte ascorbic acid an unreliable estimate of vitamin C deficiency?白细胞中的维生素C含量能否作为评估维生素C缺乏的可靠指标?
Age Ageing. 1984 Jul;13(4):243-7. doi: 10.1093/ageing/13.4.243.
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Ascorbic acid deficiency in liver disease.肝病中的维生素C缺乏
Gut. 1976 Aug;17(8):571-5. doi: 10.1136/gut.17.8.571.
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Vitamin C status of institutionalised and non-institutionalised aged.机构养老和非机构养老老年人的维生素C状况
Int J Vitam Nutr Res. 1978;48(3):274-80.
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[Role of surgery in the therapy of peptic ulcer after arrival of H2-blocking drugs].[H2 受体阻滞剂出现后手术在消化性溃疡治疗中的作用]
G Chir. 1990 Sep;11(9):466-70.

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2
Review of general surgery 1976.普通外科学回顾,1976年。
Postgrad Med J. 1977 Apr;53(618):177-94. doi: 10.1136/pgmj.53.618.177.