,和电解质的稳定性在三个不同的管在患有基本血栓细胞瘤的患者
Murat Aksit1, Merve Zeytinli Aksit2, Ayfer Colak1
1Medical Biochemistry Department, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey.
Scandinavian journal of clinical and laboratory investigation
|December 8, 2023
概括
血液采集管的选择会影响基本血栓细胞瘤患者的,和水平. 与SST和LiH管相比,屏障管为这些电解质提供了更好的短期稳定性.
科学领域:
- 临床化学 临床化学
- 血液学 血液学 血液学
- 实验室医学 实验室医学
背景情况:
- 准确的血液采集和及时分析对于可靠的诊断结果至关重要.
- 不同的采血管可以影响电解质度,可能影响患者的诊断和管理.
- 基本血栓细胞瘤 (ET) 是一种由血小板数升高的髓增殖性瘤.
研究的目的:
- 为了比较 (K), (Ca) 和 (P) 度在血清分离管 (SST),没有凝的肝素管 (LiH) 和带有屏障的肝素管 (Barricor) 在患有基本血栓塞瘤 (ET) 的患者中.
- 为了评估这些电解质在试管类型中在室温下的短期稳定性.
主要方法:
- 40名ET患者的血液样本被收集到SST,LiH和Barricor管中.
- 采集后0,2,4小时和8小时测量K,Ca和P度.
- 管间比较采用了通过巴布洛克回归和布兰德-阿尔特曼分析,结果与生物变异数据库的最大允许差异 (MPD) 相比进行了评估.
主要成果:
- 在将SST与LiH管进行比较时,在所有分析品中观察到超过MPD的显著差异.
- 与LiH管相比,Barricor管中的和水平显示出超过MPD的差异,而则没有.
- 肝素管 (LiH) 在8小时内显示出所有三种电解质的临床显著变化; Barricor管保持了K,Ca和P的稳定性,长达8小时,Ca水平处于边界.
结论:
- 在使用SST管与LiH管相比,K,Ca和P度发生临床显著的改变.
- 与LiH管相比,屏障管显示K和Ca的显著变化较少,表明稳定性得到改善.
- 虽然所有类型的管都表现出长达4小时的稳定性,但LiH管在8小时后表现出显著的电解质变化,这凸显了及时分析和适当的管道选择的重要性.
相关概念视频
Complexometric EDTA Titration Curves
918
EDTA titration curves determine the free metal ion concentration. The titration curve represents the change in concentration of free metal ions (p function) as a function of the volume of EDTA added. This curve consists of three regions: before, at, and after equivalence points. Excess free metal ions are present before the equivalence point. Equal concentrations of metal ions and EDTA are present at the equivalence point. After the equivalence point, excess EDTA exists. This means slight...
918
Anticoagulant Drugs: Low-Molecular-Weight Heparins
708
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
708
EDTA: Conditional Formation Constant
907
Each EDTA molecule has six binding sites: four carboxyl groups and two amino groups. The fully protonated form of EDTA is represented as H6Y2+. However, it can exist in different forms, H5Y+, H4Y, H3Y−, H2Y2−, and HY3−, depending on the pH of the solution. In very basic solutions with pH > 10.17, the fully deprotonated form, Y4−, is the predominant species that readily complexes with metal ions in a 1:1 ratio.
For the equilibrium reaction of the metal with the...
For the equilibrium reaction of the metal with the...
907
Disorders of Hemostasis
922
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
922
Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants
1.2K
Oral anticoagulants are vital tools in preventing and treating blood clotting disorders. This diverse class of medications can be categorized as vitamin K antagonists, exemplified by warfarin, and direct thrombin inhibitors (DTIs), such as dabigatran, as well as factor Xa inhibitors, including rivaroxaban.
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
1.2K
Ionic Strength: Effects on Chemical Equilibria
1.5K
The addition of an inert ionic compound increases the solubility of a sparingly soluble salt. For example, adding potassium nitrate to a saturated solution of calcium sulfate significantly enhances the solubility of calcium sulfate. Le Châtelier's principle cannot predict this shift in the equilibrium. Instead, this could be explained in terms of changes in the effective concentration of the ions in solution in the presence of added inert salt.
In this solution, the primary...
In this solution, the primary...
1.5K


