[Computer tomographic detection of iron-storing lymph nodes in transfusion requiring anemias].
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Biomedical subjects
Publications and source records attributed to F Brendlein.
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Serum ferritin (SF) was determined by an immunoradiometric assay in a heterologous antibody system in 184 children of different ages with and without hematologic or biochemical signs of disturbed iron metabolism. SF levels as determined by this assay were higher than with a homologous antibody system, allowing a reliable discrimination of iron deficiency and overload. In normal children SF increased with age. In latent iron deficiency all SF values were below the normal range, if patients with signs of infections, elevated serum transaminases or parenteral iron therapy were excluded. In anemia of chronic renal failure there was a wider range of values than in controls, especially in children on intermittent hemodialysis. Highest SF values were obtained in polytransfused children with thalassemia. Significant correlations were observed between SF on one hand and Hb, MCV, MCH and serum transferrin saturation on the other hand, except in children with chronic renal failure on conservative treatment. Under hemodialysis there was a significant relation to the number of blood transfusions given.
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A mixture of synthetic phospholipids containing 90% Dipalmitoylphosphatidylcholine and 10% Dipalmitoylphosphatidylglycerol was tested for its suitability as surfactant substitute. Different methods of preparation were employed. The substance was studied by chromatography, Wilhelmy balance, and in rabbits after tracheal instillation during mechanical ventilation. When prepared as suspension of multilamellar liposomes in NaCl, the phospholipid samples displayed the essential surfactant features of adsorption from the subphase, spreading to a monolayer and lowering the surface tension to 3.7 dyn/cm at compression. For a dose of 2.55 microgram/cm2, the stability index was 1.83 +/- 0.29. Samples prepared with ultrasound were not surface-active. Sonication also destroyed the surface-tension-lowering ability of previously active samples. No signs of local toxicity were found in the treated animals. When radioactive DPPC/DPPG was instillated into the trachea of the ventilated rabbit, autohistoradiography demonstrated radioactive material in the alveoli covering the alveolar wall with a thin layer. Provided that proper techniques of preparation and administration are employed, the phospholipids tested are a promising surfactant substitute worthy of clinical study.
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