Activation of fibrinolysis by reinfusion of unwashed salvaged blood after total knee arthroplasty

被引:15
作者
Matsuda, Keiji [1 ]
Nozawa, Masahiko [1 ]
Katsube, Sadanobu [2 ]
Maezawa, Katsuhiko [3 ]
Kurosawa, Hisashi [3 ]
机构
[1] Juntendo Nerima Hosp, Dept Orthopaed, Tokyo, Japan
[2] Nakaizu Spa Hosp, Dept Orthopaed, Shizuoka, Japan
[3] Juntendo Univ, Sch Med, Dept Orthopaed, Tokyo 113, Japan
关键词
Autotransfusion; Unwashed salvaged blood; Total knee arthroplasty; RHEUMATOID-ARTHRITIS; PLASMINOGEN ACTIVATORS; JOINT ARTHROPLASTY; SHED BLOOD; OSTEOARTHRITIS; INHIBITORS; DIFFERENCE; DRAINAGE;
D O I
10.1016/j.transci.2009.10.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In 19 patients with RA and 20 with CA who underwent autotransfusion with unwashed salvaged blood (USB) after total knee arthroplasty, we Performed serial measurement of D-dimer, FgDP, t-PA, and PIC in the plasma and salvaged wood, The PIC level at the completion of salvaged blood transfusion was closely correlated with the Volume of USB reinfused in the RA group (p < 0.001). The t-PA level of salvaged blood showed a significant positive correlation with the total volume of postoperative drainage in both the RA and CA groups (p < 0.05). The increase of total postoperative drainage associated With reinfusion of USB is largely Caused by an increase of t-PA in the salvaged blood. (C) 2009 Elsevier Ltd. All rights reserved.
引用
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页码:33 / 37
页数:5
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