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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Research in experimental medicine 161 (1973), S. 58-68 
    ISSN: 1433-8580
    Keywords: Aggregometry ; Apparent blood viscosity ; Erythrocyte aggregation ; Erythrocyte deformability ; Hemoglobin viscosity ; Hypothermia ; Plasma viscosity
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Mikrorheologie und Viscosität von Vollblut, Erythrocyten und Erythrocytenaggregaten wurden bei Temperaturen zwischen 37 und 4°C untersucht. Neben lange bekannten Viscositätssteigerungen von Blut und Plasma beihohen Schergraden wurde ein spezieller Anstieg der Blutviscosität (nicht Plasmaviscosität) beiniedrigen Schergraden und Temperaturen unter 20°C beobachtet. Dieser Anstieg fehlt in nichtaggregierenden Blutproben (Erythrocyten in isotonischer Albuminlösung). Im gleichen Temperatur- und Schergradbereich wurde regelmäßig eine starke Zunahme der Aggregationstendenz beobachtet. Die Schubspannungen, die zur Dispersion von Aggregaten notwendig sind, steigen von 3 dyn/cm2 bei 37°C auf 10 dyn/cm2 bei 4°C. Die Verformbarkeit der Zellen, getestet an ihrer Fähigkeit, durch 5 µm Poren zu fließen, ist jedoch nicht aufgehoben. Diesein vitro-Ergebnisse unterstützen die Vorstellung, daß die Mikrozirkulationsstörungenin vivo nach Hypothermie tatsächlich auf gesteigerter Aggregationstendenz der Erythrocyten beruht.
    Notes: Summary The microrheology and bulk viscosity of whole blood, erythrocytes and erythrocyte aggregates was examined at temperatures between 37 and 4°C. Beside the well established increases of blood and plasma viscosity athigh rates of shear, a specific increase of blood (not plasma) viscosity atlow rates of shear is seen below 20°C. This increase is not seen in non-aggregating blood samples (red cells in isotonic albumin solution). At the same temperature and shear rate range, a strong increase in the tendency to aggregation is regularly observed. The shear stresses necessary to keep red cell aggregates dispersed in flow increase from 3 (at 37°) to 10 dynes/cm2 (at 4°C). The deformability of the cells as tested by their ability to pass 5 µm pores is, however, not abolished by lowering temperatures. Thesein vitro results give strong support to the notion that the microcirculatory disturbances seen in response to hypothermiain vivo are indeed related in part to increased tendency to red cell aggregation.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1076
    Keywords: Newborn ; Hepatic hemangioma ; Cardiac failure ; Consumption coagulopathy ; Microangiopathic hemolytic anemia ; Blood volume
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A newborn infant with a large hepatic hemangioma developed congestive heart failure, consumption coagulopathy, microangiopathic hemolytic anemia, and obstructive jaundice. The patient was mildly heparinized (250 units per kg and day) and underwent successful resection of the tumor without lobectomy at the age of 3 days. Blood volume increased from 93.9 ml/kg at the age of 5 h to 124.2 ml/kg prior to surgery. Red-cell mass simultaneously decreased from 53.8 to 39.4 ml/kg. The increase of blood volume is explained by congestive heart failure, the decrease of red-cell mass by intravascular coagulation within the tumor resulting in formation of thrombi and microangiopathic hemolytic anemia. A review of the literature on infants with symptoms caused by an intrahepatic hemangioma during the first month of life confirms that surgical intervention is the treatment of choice for infants with giant solitary hemangioma of the liver.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1076
    Keywords: Blood pressure ; Blood viscosity ; Blood volume ; Newborn infants ; Peripheral blood flow ; Peripheral resistance ; Premature infants ; Respiratory distress
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Peripheral blood flow and systolic blood pressure (strain-gauge plethysmograph), blood volume (Evans blue) and whole blood viscosity (cone-plate viscometer) have been measured in 66 premature and full-term infants 6 to 144h of age. Blood flow and blood volume were moderately decreased in the infants with respiratory distress. Highly significant (P〈0.001) correlations were found betwen blood flow and blood volume (r=0.77), blood pressure and blood volume (r=0.50), peripheral resistance and blood volume (r=-0.44), blood flow and blood pressure (r=0.50), blood flow and peripheral resistance (r=-0.67), peripheral resistance and blood viscosity (r=0.45), and blood viscosity and haematocrit (r=0.86). There was no correlation between peripheral blood flow and blood viscosity. However, at given blood volume, peripheral blood flow decreased with increasing blood viscosity. These results indicate that in newborn infants peripheral blood flow, blood pressure and peripheral resistance are influenced by blood volume, but also depend on blood viscosity.
    Type of Medium: Electronic Resource
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