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The Journal of Thoracic and Cardiovascular Surgery, Vol 90, 91-96, Copyright © 1985 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
MM Quiroga, R Miyagishima, LC Haendschen, M Glovsky, BA Martin and JC Hogg
Leukocyte kinetics were investigated in 22 patients undergoing
cardiopulmonary bypass to determine the nature of the changes in the white
blood cell count associated with this procedure. Both polymorphonuclear
leukocytes and lymphocytes were taken up by the lung as pulmonary blood
flow was lowered, but only polymorphonuclear leukocytes were taken up as
blood flow was restored. The complement 3a level was increased
approximately twice the control value within 2 minutes of going on bypass
and remained elevated throughout the procedure. The peripheral white blood
cell count doubled during the bypass procedure owing to a release of
polymorphonuclear leukocytes and their precursors from the bone marrow. The
increase in polymorphonuclear leukocytes was prevented by hyperthermia but
reappeared quickly when the body temperature was restored to 36 degrees to
37 degrees C.
ARTICLES
The effect of body temperature on leukocyte kinetics during cardiopulmonary bypass
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