活体透与基于血红蛋白的氧气载体,红细胞或没有氧气载体的透
Merel B F Pool1, Kaithlyn M Rozenberg2, Stine Lohmann3
1Department of Surgery - Organ Donation and Transplantation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
氧气载体对于捐赠脏的正常热机器输液 (NMP) 是必不可少的. 虽然可以使用基于血红蛋白的氧载体 (HBOC-201),但在长时间的NMP期间,红细胞 (RBC) 支持更好的功能.
科学领域:
- 器官移植研究器官移植研究
- 生物医学工程 生物医学工程
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 在移植之前,Normothermic机器输液 (NMP) 评估和改善了捐赠的活力.
- 研究了NMP中氧载体的必要性以及基于血红蛋白的氧载体 (HBOC-201) 作为红细胞 (RBC) 的替代品的有效性.
研究的目的:
- 为了确定NMP是否需要氧气载体.
- 在NMP期间将HBOC-201与红细胞作为氧气载体进行比较.
主要方法:
- 猪脏在37°C下进行了NMP,持续了360分钟.
- perfusion 溶液包含没有氧气载体,红细胞或 HBOC-201.
主要成果:
- 没有氧载体的NMP显示功能受损 (高乳酸,AST).
- 与HBOC-201相比,红细胞的功能标志物 (尿液产生,肌素清除) 与红细胞优越.
- 在360分钟后使用HBOC-201观察到升高的甲血球蛋白水平 (45%).
结论:
- 氧气载体对于有效的NMP是必不可少的.
- HBOC-201可以作为红细胞替代品,但甲血球积累限制了其在长期NMP中的使用.
- 与HBOC-201相比,红细胞在延长NMP期间促进更有利的功能.
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