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[不同保存液中肾移植移植物损伤的形态学分析]

[Morphologic analysis of damage in renal grafts in various preservative solutions].

作者信息

Simić M, Vuković R

机构信息

Medicinski fakultet, Institut za sudsku medicinu, Novi Sad.

出版信息

Med Pregl. 1991;44(5-6):217-9.

PMID:1808480
Abstract

In this study experimental research was conducted concerning the morphology of renal lesions, in the function of time (12, 24, 36 and 48 hours) on potential renal allografts, which were stored in various cooled preservative fluids. A physiological solution was used, Euro-Collins and modified Euro-Collins, where dextrose was substituted with mannitol in the quantity of 35 g/l. With the modification of the Euro-Collins solution, in other words by the substitution of dextrose with mannitol, better results were achieved, and the differences grow in the function of time. The electrolytic content of this solution successfully maintains the intracellular ionic balance, and mannitol, as a highly osmotically active substance, offers better protection of the cells of the nephron complex from intracellular water penetration, which immediately results in the prolongation of preservation time and better quality of cadaveric renal graft.

摘要

在本研究中,针对潜在肾移植供体肾脏病变的形态学进行了实验研究,这些肾脏在不同的低温保存液中保存,观察时间为12、24、36和48小时。使用了一种生理溶液、欧洲柯林斯液(Euro-Collins)和改良欧洲柯林斯液,后者用35克/升的甘露醇替代了葡萄糖。通过对欧洲柯林斯液进行改良,即用甘露醇替代葡萄糖,取得了更好的效果,且随着时间推移差异增大。该溶液的电解质含量成功维持了细胞内离子平衡,而甘露醇作为一种高渗透活性物质,能更好地保护肾单位复合体的细胞免受细胞内水分渗透的影响,这直接导致了保存时间的延长和尸体肾移植质量的提高。

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