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全氟碳化合物乳剂静脉输注给实验动物所引起的副反应。

Side reaction caused by the perfluorocarbon emulsions in intravenous infusion to experimental animals.

作者信息

Sedova L A, Kochetygov N I, Berkos M V, Pjatowskaja N N

机构信息

Laboratory of Blood Substitutes, Russian Research Institute of Hematology and Transfusiology, St. Petersburg, Russia.

出版信息

Artif Cells Blood Substit Immobil Biotechnol. 1998 Mar;26(2):149-57. doi: 10.3109/10731199809119773.

Abstract

The perfluorocarbon (PFC) emulsions are infusion gas-transporting media and are usually called the artificial blood. However anaphylactoid reaction were observed during intravenous infusion of PFC emulsions. The cause of side reactions is the activation of the complement system. An indirect sign of the intravascular activation of the complement is the neutropenic effect in the peripheric blood. Taking into consideration the phenomen, the method of evaluation of anaphylactoid reaction caused by PFC emulsions has been elaborated using the neutropenic index. We evaluated the biocompatibility of 26 PFC emulsions of different composition in intravenous infusion to rabbits using this index. Emulsions evoked reactions of different extent. Some emulsions did not cause the neutropenic effect at all. Results of this work allow to reach conclusion, that influence of PFC emulsions on the complement system is explained not only by emulsifying agent proxanol: the stability of emulsions in the vascular bed and in the period of storage in frozen state is of great importance as well.

摘要

全氟碳(PFC)乳剂是输液用气体传输介质,通常被称为人造血液。然而,在静脉输注PFC乳剂期间观察到类过敏反应。副作用的原因是补体系统的激活。补体血管内激活的一个间接迹象是外周血中的中性粒细胞减少效应。考虑到这一现象,已利用中性粒细胞减少指数制定了评估PFC乳剂引起的类过敏反应的方法。我们使用该指数评估了26种不同成分的PFC乳剂静脉输注给兔子时的生物相容性。乳剂引发了不同程度的反应。一些乳剂根本没有引起中性粒细胞减少效应。这项工作的结果可以得出结论,PFC乳剂对补体系统的影响不仅由乳化剂普朗尼克解释:乳剂在血管床中的稳定性以及在冷冻状态下储存期间的稳定性也非常重要。

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