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膜式氧合器体外循环的实验研究:对犬和猴肺结构的影响(作者译)

[Experimental study of extra-corporeal circulation with membrane oxygenators: effects on the lung structures of dogs and monkeys (author's transl)].

作者信息

Vai F, Lienhard A, Masse R, Debesse B, Fournier M, Pariente R

出版信息

Rev Fr Mal Respir. 1979 Sep-Oct;7(5):461-6.

PMID:121484
Abstract

Six dogs and 5 monkeys underwent extra-corporeal circulations with membrane oxygenators for variable time periods (from 4 to 57 hours). The development and evolution of the lesions, which were similar in the two animal species, were controlled by electron microscopic examination of lung samples. From the 2nd h, abnormalities of the capillary endothelium were observed; but a 6 h, all the inner lung structures were reached and the lesions grew worse with time. Thus, the intrinsic toxicity of membrane oxygenators on lung structures emphasizes that this method should be used with utmost precaution in man.

摘要

6只狗和5只猴子使用膜式氧合器进行了不同时长(4至57小时)的体外循环。通过对肺组织样本进行电子显微镜检查,对两种动物身上相似病变的发展和演变进行了监测。从第2小时开始,观察到毛细血管内皮出现异常;到6小时时,肺部所有内部结构均受到影响,且病变随时间推移而加重。因此,膜式氧合器对肺部结构的内在毒性强调,在人体中使用这种方法时应极其谨慎。

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