Forth H J, Rebmann U, Heynemann H, Schabel J, Pauer H D, Mehlhorn G, Scharf R, Mest H J
Klinik und Poliklinik für Urologie, Martin-Luther-Universität Halle-Wittenberg.
Z Exp Chir Transplant Kunstliche Organe. 1990;23(2):79-82.
Operative trauma, ischemia, release of catecholamines and thermal stimuli in consequence of harvesting, preservation and transplantation deteriorate the renal capillary circulation. By crossing of tolerance limits arises an irreversible transplant damage. The conditions of our examinations were placed in this field. By pre- and postischemic application of Iloprost was demonstrable an improvement of the ischemic tolerance of the kidney. Correction of renal hemodynamics, antiplatelet action and cytoprotection are the reasons of the protective influence of Iloprost in our opinion.
手术创伤、缺血、因采集、保存和移植而释放的儿茶酚胺以及热刺激会使肾毛细血管循环恶化。当超过耐受极限时,会出现不可逆的移植损伤。我们的检查条件就处于这一领域。通过在缺血前后应用伊洛前列素,可证明肾脏的缺血耐受性得到了改善。在我们看来,纠正肾血流动力学、抗血小板作用和细胞保护是伊洛前列素产生保护作用的原因。