| The Change of Plasma Concentrations of Fibrinogen Degradation Products and Fibrin Degradation Products During the Open Heart Surgery. |
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Seong Cheal Ryu, Sung Woo, Kang Hee Cho, Yeong Gwon Goo, Sung Sub Park |
1Department of Anesthesiology, Seoul Paik Hospital, InJe University, Korea.
2Department of Anesthesiology, Kim's Eye Hospital, Keon Yang Medical Corporation, Korea.
3Department of Clinical Pathology, College of Medicine, Seoul Natonal University, Korea. |
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| Abstract |
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There were many researches, which qualitative or quantitative assays were performed about fibrinolysis and the degree of activation of coagulation system. Authors measured fibrinogen degradation products(FbDP) and fibrin degradation products(FbDP) by monoclonal enzymeimmunoassay, instead of polyclonal method in 12 cases of cardiopulmonary bypass(CPB). 1) The increase of FgDP after sternotomy is verifying the significant fibrino(geno) lysis occured by stimulation of sternotomy. 2) By the result that FgDP was significantly increased compared with FbDP, primary fibrinogenolysis is more important phenomenon than secondary fibrinolysis during CPB. 3) FbDP and FgDP were most significantly increased immediately before the end of CPB and after CPB. 4) Increased FgDP was decreased after CPB but FbDP was still elevated 5 hours after CPB. According to the above results, CPB induced primary fibrinogenolysis and secondary fibrinolysis in open heart surgery. |
| Key Words:
Fibrinogen degradation products; Fibrin degradation products; Cardiopulmonary bypass |
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