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血液净化吸附剂CAA去除血浆亚甲蓝对人血浆正常成分的影响

Effects of the Adsorbent CAA for Hemopurification on Normal Components of Human Plasma in Removing Methylene Blue

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【作者】 马育夏云杨晓兰于明安

【Author】 Ma Yu 1 Xia Yun 2 Yang Xiaolan 1 Yu Ming’an 1 1(Department of Chemistry, College of Basic Medical Sciences, Chongqing University of Medical Sciences, Chongqing 400016) 2(Department of Clinical Laboratories, College of Clinical Medicine, Chongqing University of Medical Sciences, Chongqing 400016)

【机构】 重庆医科大学基础医学院化学教研室重庆医科大学临床学院检验科重庆医科大学基础医学院化学教研室 重庆400016重庆400016重庆400016

【摘要】 亚甲蓝光处理法可以灭活血浆中多种病毒 ,随后去除亚甲蓝可以减少其产生的副作用。本研究考查了交联琼脂包嵌凹凸棒珠 CAA去除血浆亚甲蓝后对人血浆中部分成分的影响。通过测定对照试样和过柱血浆中的部分生化指标、凝血指标及阳离子浓度变化 ,评价了 CAA的生物医学性能。血浆经 CAA作用前后生化指标、钾、钠离子浓度指标几乎无变化 ;钙镁离子浓度的增加和血氨浓度降低明显 ;活化部分凝血酶原时间有明显延长 (由 4 2 s至 5 3s)。结果表明 ,CAA吸附剂保留了血浆的大多数重要性质 ,能有效去除血浆亚甲蓝而不会引起临床意义上的不良变化

【Abstract】 Virus inactivation of plasma can be achieved by phototreatment with methylene blue (MB). Subsequently, elimination of MB may reduce the adverse effects of MB. This study examined the effects of adsorbing MB with the use of cross linked agar bead entrapped attapulgite clay (CAA) on normal ingredients in MB treated plasma units. The biomedical characteristics of CAA were assessed by determination of partial biochemical indexes, coagulation potency and some cationic concentration in a control sample and the MB treated plasma eluted from CAA column. The biochemistry indexes or K +, Na + in plasma were almost unaltered before and after CAA adsorption. In contrast, the concentrations of Ca 2+ and Mg 2+ increased and the blood ammonium decreased obviously. The activated partial thromboplastin time (APTT) was prolonged from 42 s to 53 s, and prothrombin time (PT) from 13 s to 14 s. The result indicates that CAA as an adsorbent for hemopurification retains the most important characters of human plasma. CAA can be useful for the elimination of MB in MB treated plasma and does not bring on harmful alteration in clinical significance.

【关键词】 吸附亚甲蓝血液净化
【Key words】 Adsorption Methylene blue Hemopurification
【基金】 重庆市医学科技计划资助项目 (99-2 0 3 2 )
  • 【文献出处】 生物医学工程学杂志 ,Journal of Biomedical Engineering , 编辑部邮箱 ,2003年02期
  • 【分类号】R318.0
  • 【被引频次】6
  • 【下载频次】67
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