Penkov N
Khirurgiia (Sofiia). 2003;59(1-2):39-45.
It was established that the decrease up to absence flow biliary ow in the intestinal tract by the presence of extrahepatal biliary obstruction led to increased resorption of endotoxins in the system of v. portae and their getting into the systematic blood circulation. The article explores Obstructive jaundice-caused translocations of bacteria from the Gut, endotoxins, portal Endotoxaemia, entrance of endotoxins in the blood stream, Suppression of cellular immuniby, Liver ishemia, and shunting of Portal blood with development of systematic Endotexaemia. The article also discusses Functional Renal Failure, disturbance of coagulation, acute upper gastrointestinal bleeding, and disturbed wound beating that are characteristic of Biliary Obstruction.
已经确定,肝外胆道梗阻导致肠道内胆汁流动减少直至无胆汁流动,这会导致门静脉系统中内毒素的重吸收增加,并使其进入体循环。本文探讨了阻塞性黄疸引起的肠道细菌易位、内毒素、门静脉内毒素血症、内毒素进入血流、细胞免疫抑制、肝缺血以及门静脉分流伴体循环内毒素血症的发生。本文还讨论了胆道梗阻所特有的功能性肾衰竭、凝血障碍、急性上消化道出血以及伤口愈合不良。