血液と脈管
Online ISSN : 1884-2372
Print ISSN : 0386-9717
肝移植無肝期における凝固能の検討
松波 英寿鬼束 惇義福富 督味元 宏道矢野 好弘日野 晃紹尾関 豊松本 興治広瀬 光男
著者情報
ジャーナル フリー

18 巻 (1987) 4 号 p. 370-373

詳細
PDFをダウンロード (313K) 発行機関連絡先
抄録

Anhepatic stage in livertransplantation are accompanied by various coagulation disturbances. Coagulation changes during the anhepatic stage were investigated in hepatectomised dogs. Animals were divided into 3 groups; Group I with total hepatectomy under the V-V bypass using pump without heparinization, Group II with V-V bypass only and Group III with splenectomy only. The platelet count was not changed in Group III but decreased significantly in Groups I and II from 30 minutes after start of V-V bypass. The platelet aggregability was lowered with time in Group I, but stayed unchanged in Group III. Prothombin time (PT) was significantly prolonged in Group I from 30 minutes after V-V bypass start, compared to Group II. The fibrinogen degradation products (FDP) were positive in 40% of the Group I dogs at 30 minutes after V-V bypass start, but became positive in 100% after 3 hours. The positive ratio in Group III did not changed with time. Analysis of the coagulation changes by V-V bypass suggested that at the anhepatic stage, plasma clotting factor deficiencies occur relatively early with the appearance bf FDP resulting in coagulation disturbances.

著者関連情報
© 日本血栓止血学会
前の記事 次の記事

閲覧履歴
feedback
Top