在体外生命支持过程中红细胞损伤
Cristina A Figueroa Villalba1,2, Nabiha H Saifee2,3, Wayne L Chandler2,3
1From the Department of Laboratory Medicine, Yale School of Medicine, New Haven, Connecticut.
概括
在体外生命支持 (ECLS) 期间的致命性损伤增加了脂素阳性红细胞 (RBC),标记它们清除. 这种红细胞损伤导致儿科ECLS患者的血液流失.
科学领域:
- 血液学 血液学 血液学
- 生物医学工程 生物医学工程
- 儿科重症监护中心儿童重症监护中心
背景情况:
- 红细胞 (RBC) 受到的次致命损伤可以在体外生命支持 (ECLS) 期间发生.
- 定量红细胞损伤对于了解ECLS期间的血液损失至关重要.
研究的目的:
- 在儿科ECLS期间量化亚致命的红细胞损伤.
- 为了确定酸胺正 (PhS+) 红细胞对红细胞损失的贡献.
- 为了比较在ECLS期间的红细胞损失机制.
主要方法:
- 使用流细胞计量量化PhS+红细胞和红细胞细胞外囊泡.
- 估计了红细胞清除半衰期.
- 在儿科ECLS期间分析了红细胞损失.
主要成果:
- 与正常人相比,ECLS患者的PhS+红细胞显著增加.
- 在储存的红细胞单位中,PhS+红细胞也升高.
- 在ECLS期间,PhS+红细胞清除约占红细胞损失的7%,其半衰期为15小时.
结论:
- 在ECLS期间红细胞上的脂素暴露增加,这表明了次致命的损伤.
- 通过外血管机制清除PhS+红细胞,从而导致红细胞损失.
- 增加的PhS+红细胞与ECLS患者的死亡率有关.
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