'Hematolojik parametreler yönünden' açık kalp cerrahisinde, heparin kaplı oksijeneratör ve tubing set kullanılmasının yararları
The Use of heparin coated oxygenator and tubing set in open heart surgery, advantage on heamatological parameters
- Tez No: 59422
- Danışmanlar: PROF. DR. REFİK YİĞİT
- Tez Türü: Doktora
- Konular: Fizyoloji, Physiology
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 1997
- Dil: Türkçe
- Üniversite: İstanbul Üniversitesi
- Enstitü: Sağlık Bilimleri Enstitüsü
- Ana Bilim Dalı: Fizyoloji Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 88
Özet
SUMMARY The effects of Heparin Coated CPB Systems (HCS) and Uncoated CPB Systems (UCS) on heamatologic parameters during open heart surgery were studied. 30 patients were studied and they were divided into two groups as HCS (n:15) and UCS (n:15). Blood samples were drawn in three periods and evaluated at 8 stages as, before the operation, during the operation (1th, 30 & minute and after the aortic cross clamp was removed) and after the operation (after the protamin infusion was completed, 12, 24 and 48 hours ). After the evaluation of the results of the two groups, these conclusions were attained. The type of the operation performed, sex, age, weight, body surface area, cardiopulmonary bypass, aortic cross clamping times and total diuresis distributions between two groups were not statistically meaningful (p>0.05). The mean heamatocrit percentage, erythrocyte, hemoglobin, leukocyte, neutrophil percentage and thrombocyte values of the heparin coated and uncoated system groups differed in every stages, but the differences were not statistically meaningful (p>0.05). Free plasma hemoglobin (FpHb) levels of the UCS group were found to be statistically significantly higher than the HCS group in every stages other than stage 1 * of the preoperative period (p0.05). The mean Entubation Periods were calculated. The results were found lower in the HCS group than that of the UCS group. Howewer they were not statistically meaningful (p
Özet (Çeviri)
SUMMARY The effects of Heparin Coated CPB Systems (HCS) and Uncoated CPB Systems (UCS) on heamatologic parameters during open heart surgery were studied. 30 patients were studied and they were divided into two groups as HCS (n:15) and UCS (n:15). Blood samples were drawn in three periods and evaluated at 8 stages as, before the operation, during the operation (1th, 30 & minute and after the aortic cross clamp was removed) and after the operation (after the protamin infusion was completed, 12, 24 and 48 hours ). After the evaluation of the results of the two groups, these conclusions were attained. The type of the operation performed, sex, age, weight, body surface area, cardiopulmonary bypass, aortic cross clamping times and total diuresis distributions between two groups were not statistically meaningful (p>0.05). The mean heamatocrit percentage, erythrocyte, hemoglobin, leukocyte, neutrophil percentage and thrombocyte values of the heparin coated and uncoated system groups differed in every stages, but the differences were not statistically meaningful (p>0.05). Free plasma hemoglobin (FpHb) levels of the UCS group were found to be statistically significantly higher than the HCS group in every stages other than stage 1 * of the preoperative period (p0.05). The mean Entubation Periods were calculated. The results were found lower in the HCS group than that of the UCS group. Howewer they were not statistically meaningful (p
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