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[消化性溃疡手术治疗后的代偿反应]

[Compensatory reactions after surgical treatment of peptic ulcer].

作者信息

Fedinets A V, Koval'chuk I A, Korshinskiĭ I Iu, Mulesa P M, Zhupan E E

出版信息

Vestn Khir Im I I Grek. 1976 Nov;117(11):25-7.

PMID:1014259
Abstract

The work is based on studies conducted in 30 experimental dogs with gastrointestinal ulcer induced experimentally, which were subjected to selective vagotomy with pyloroplasty after the Heinike--Mikulicz technic, and also in 22 patients having gastric ulcerous disease who were subjected to trunk or selective vagotomy with drainage operations or vagotomy associated with economic gastric resection. As a result of investigation performed, it was found that the operative intervention on the stomach i. e. selective vagotomy with economic gastric resection both experimentally and clinically is accompanied with marked disturbances in the compensatory and adaptation mechanism in the organism, these are manifested in inhibition of oxido-reduction processes (a pronounced decrease in reduced glutathione level, an increase of oxidated glutathione, a great fall in blood vacant oxygen). The postoperative period is characterized by normalization of oxido-reduction processes, their normalization being but slow.

摘要

这项工作基于对30只实验性诱发胃肠溃疡的犬进行的研究,这些犬按照海尼克-米库利茨技术进行选择性迷走神经切断术并加做幽门成形术;同时也基于对22例胃溃疡疾病患者的研究,这些患者接受了迷走神经干切断术或选择性迷走神经切断术并加做引流手术,或者接受了与经济性胃切除术相关的迷走神经切断术。研究结果发现,无论是在实验中还是临床上,对胃的手术干预,即选择性迷走神经切断术加经济性胃切除术,都会伴随着机体代偿和适应机制的明显紊乱,这些紊乱表现为氧化还原过程受到抑制(还原型谷胱甘肽水平显著降低、氧化型谷胱甘肽增加、血液中氧含量大幅下降)。术后时期的特点是氧化还原过程恢复正常,但其恢复过程较为缓慢。

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