科研之友
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摘要
Background: Viscoelastic diagnostics that monitor the hemostatic function of whole blood (WB), such as thromboelastography, have been developed with demonstrated clinical utility. By measuring the cumulative effects of all components of hemostasis, viscoelastic diagnostics have circumvented many of the challenges associated with more common tests of blood coagulation. Methods: We describe a new technology, called sonorheometry, that adaptively applies acoustic radiation force to assess coagulation function in WB. The repeatability (precision) of coagulation parameters was assessed using citrated WB samples. A reference range of coagulation parameters, along with corresponding measurements from prothrombin time (PT) and partial thromboplastin time (PTT), were obtained from WB samples of 20 healthy volunteers. In another study, sonorheometry monitored anticoagulation with heparin (0-5 IU/ml) and reversal from varied dosages of protamine (0-10 IU/ml) in heparinized WB (2 IU/ml). Results: Sonorheometry exhibited low CVs for parameters: clot initiation time (TC(1)), <7%; clot stabilization time (TC(2)), <6.5%; and clotting angle (theta), <3.5%. Good correlation was observed between clotting times, TC(1) and TC(2). and PTT (r = 0.65 and 0.74 respectively; n = 18). Linearity to heparin dosage was observed with average linearity r>0.98 for all coagulation parameters. We observed maximum reversal of heparin anticoagulation at protamine to heparin ratios of 1.4:1 from TC(1) (P = 0.6) and 1.2:1 from theta (P = 0.55). Conclusions: Sonorheometry is a non-contact method for precise assessment of WB coagulation.
- 出版日期2010-5-2
