Horiuchi M
Department of Anesthesia, Nihon University, School of Medicine, Tokyo.
Masui. 1992 May;41(5):785-90.
A study was made on the presence or absence and the degree of histopathological renal cell damage, in hypotensive anesthesia models with prostaglandin E1 (PGE1) or trimethaphan. Cell damage was most noticeable in the S3 segment, the straight and second half part of the proximal renal tubule. The lesion was evaluated and semiquantified. The trimethaphan group in this area exhibited degeneration--including cell vacuolation and granule increase in this site, as well as cytoclasis such as cell fragments in the lumen, luminal extension, flattening of epithelial cell and damage of distal renal tubular columns. In the PGE1 group, cell degeneration was milder than in the trimethaphan group, and there were no cytoclasis findings. Renal cell damage in the PGE1 group was slighter than in the trimethaphan group.
针对使用前列腺素E1(PGE1)或阿方那特的低血压麻醉模型,对肾组织病理细胞损伤的有无及程度进行了研究。细胞损伤在S3段(近端肾小管的直部和后半段)最为明显。对病变进行了评估和半定量分析。阿方那特组在该区域表现出变性,包括细胞空泡化、该部位颗粒增多,以及细胞破碎,如管腔内细胞碎片、管腔扩张、上皮细胞扁平及远端肾小管柱损伤。在PGE1组,细胞变性比阿方那特组轻,且未发现细胞破碎现象。PGE1组的肾细胞损伤比阿方那特组轻。