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[大鼠门静脉分支结扎预防“90%”肝切除术后急性肝衰竭]

[Prevention of acute hepatic failure after "90%" hepatectomy by portal branch ligation in rats].

作者信息

Li B, Saliez A, Lambotte L

机构信息

Department of Surgery, First Affiliated Hospital, Chengdu.

出版信息

Hua Xi Yi Ke Da Xue Xue Bao. 1997 Mar;28(1):87-90.

Abstract

In this study, ligation of portal branches feeding 90% liver mass was performed in rats. After the ligation, 10% liver mass with portal blood perfusion underwent a progressive hypertrophy. It gained weight against the control by about 5-fold at the 14th day. The measurement of incorporation rate of H3-thymidine showed that the DNA synthesis increased rapidly in the liver tissue keeping portal blood supply. It reached a peak at 24 hours and retumed to normal at 7 days after the ligation. The ligated liver lobes under-went an atrophy gradually. With the pretreatment of such portal branch ligation 2 weeks before, 80% rats survived from the resection of ligated liver lobes which composed of 90% preceding liver mass. In the control group of sham portal branch ligation, all rats died within a short period of time after 90% hepatectomy. This study demonstrated that a secondary extended hepatectomy following the ligation of portal branches feeding 90% liver mass could prevent acute hepatic failure induced by primary 90% hepatectomy in rats.

摘要

在本研究中,对大鼠进行门静脉分支结扎,结扎的门静脉分支为90%的肝脏组织供血。结扎后,接受门静脉血供的10%肝脏组织逐渐肥大。在第14天时,其重量相较于对照组增加了约5倍。H3-胸腺嘧啶核苷掺入率的测定表明,保持门静脉血供的肝脏组织中DNA合成迅速增加。在结扎后24小时达到峰值,并在7天时恢复正常。结扎的肝叶逐渐萎缩。在结扎门静脉分支2周前进行预处理后,80%的大鼠在切除由之前90%肝脏组织构成的结扎肝叶后存活。在假门静脉分支结扎的对照组中,所有大鼠在90%肝切除术后短时间内死亡。本研究表明,在结扎为90%肝脏组织供血的门静脉分支后进行二期扩大肝切除术,可预防大鼠原发性90%肝切除所致的急性肝衰竭。

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