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  • 标题:The Change of Platelet Count and Plasma Fibrinogen Level during and after Extracorporeal Circulation
  • 作者:Yoon, Mun Han ; Kim, Heung Dae
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:1988
  • 卷号:21
  • 期号:5
  • 页码:764-771
  • DOI:10.4097/kjae.1988.21.5.764
  • 语种:Korean
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    In order to evaluate causes and the effective treatment of postoperative bleeding after open heart surgery, we measured platelet count and plasma fibrinogen levels before, during a 30 and 60-minute, and after a 30, 60 and 90-minute extracorporeal circulation in 5 patients perfused by a bubble and membrane oxygenator, respectively. The results were as follows: 1) The platelet count was reduced significantly by 57.2±3.04% during a 30-minute extracorporeal circulation using the bubble oxygenator and by 43.8±0.84% using the membrane oxygenator, and these levels were maintained throughout the extracorporeal circulation. 2) The platelet count after a 90-minute extracorporeal circulation increased significantly compared with after a 30-minute extracorporeal circulation (p<0.05) and these effects were more prominent using the bubble oxygenator (p<0.025). 3) The plasma fibrinogen level was reduced by 28.6±7.50% during a 30-minute extracorporeal circulation using the bubble oxygenator and by 33.6±5.77% using the membrane oxygenator, and these levels were maintained throughout the extracorporeal circulation. 4) The plasma fibrinogen level after a 90-minute extracorporeal circulation increased significantly compared with after a 30-minute extracorporeal circulation (p<0.05).

  • 关键词:open heart surgery; Extracorporeal circulation; Platelet; Fibrinogen
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