METHOD OF ERYTHROCYTE PROTECTION IN URGENT CARDIAC SURGERY

V. Cherniy, Lada O. Sobanska
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Abstract

Aim: The use of a simple, safe and convenient method of treatment extracorporeal circuit with «adaptation composition » (AdC) for the reduction of negative impact on the state of erythrocytes and tissue hypoxia. Material and methods: The research included 150 patients. They were divided into two groups. The first group included patients who underwent surgery with the treatment of an extracorporeal circuit by AdC, the second group was the control group. Сomplete blood count parameters, plasma free hemoglobin concentration, erythrocyte mechanical and osmotic resistance, erythrocyte membrane permeability and acid hemolysis were studied. Results: Use of AdC prevents adsorption the blood cells on the surface of the extracorporeal circuit and protects the erythrocytes during cardiopulmonary bypass in urgent cardiac surgery. Conclusions: The treatment of oxygenator with AdC reduces the negative influence СРВ on state of RBC. Membranes of erythrocytes were more resistant to traumatic factors in the group with AdC.
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急诊心脏手术中红细胞保护的方法
目的:采用一种简单、安全、方便的体外循环“适应性成分”(AdC)治疗方法,减少对红细胞状态和组织缺氧的负面影响。材料与方法:纳入150例患者。他们被分成两组。第一组包括接受AdC体外循环治疗的手术患者,第二组为对照组。Сomplete血细胞计数参数,血浆游离血红蛋白浓度,红细胞机械和渗透阻力,红细胞膜通透性和酸性溶血。结果:在急诊心脏外科体外循环中使用AdC可防止血细胞在体外循环表面吸附,保护红细胞。结论:AdC氧合器治疗可降低СРВ对红细胞状态的负面影响。AdC组红细胞膜对创伤性因素的抵抗力更强。
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