CHANGES IN ANTI-PLASMIN AND PLASMIN ACTIVITIES DURING EXTREME HEMODILUTION AND OPEN-HEART SURGERY IN DOGS

被引:6
作者
AASEN, AO [1 ]
GALLIMORE, MJ [1 ]
LILLEAASEN, P [1 ]
LYNGAAS, K [1 ]
LARSBRAATEN, M [1 ]
AMUNDSEN, E [1 ]
机构
[1] RIKSHOSP,INST SURG RES,DEPT SURG A,OSLO,NORWAY
关键词
'Fast-reacting' antiplasmin Plasmin activity; Cardiac surgery; Chromogenic substrate assays; Extreme hemodilution; Oj-Antiplasmin; Total' antiplasmin; α[!sub]2[!/sub]-Macroglobulin;
D O I
10.1159/000128061
中图分类号
R61 [外科手术学];
学科分类号
摘要
The effects of extreme hemodilution and open heart surgery on antiplasmin and plasmin activities were investigated in dogs. Assays for plasmin and antiplasmin activities were performed with a chromogenic peptide substrate for plasmin. After hemo-dilution and during cardiopulmonary bypass (CPB), plasmin activity on the substrate was observed and levels of both 'fast-reacting' and 'total' antiplasmins fell. The plasmin activity was shown to be due to the formation of α2-macroglobulin-plasmin complex which exhibited amidolytic activity on the chromogenic substrate. The falls in antiplasmin activity together with the appearance of the a,-macroglobulin-plasmin complex revealed that activation of the fibrinolytic system had occurred. After the operation and following rein-fusion of autologous blood, decreased plasmin and increased antiplasmin activities were observed. On the first and sixth days following the operation plasmin activities were still slightly higher than pre-operation values, whilst antiplasmin activities were normal. © 1979 S. Karger AG, Basel.
引用
收藏
页码:145 / 153
页数:9
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