Bary S v, Kortmann H, Köpcke W
Res Exp Med (Berl). 1976 Aug 25;168(2):123-8. doi: 10.1007/BF01851902.
In the early postoperative period (third postoperative day) the colonic enterotomies show 45 per cent higher bursting pressure following administration of Aprotinin than the control group (p less than 0,02). On the fifth postoperative day no difference was noted between both groups. The interpretation of the results is difficult because specific parameters such as collagen content and collagenase activity were not determinated. The relationship between colonic anastomotic breakdown and collagenase and therefore the question of collagenase inhibition have to be discussed. It is suggested that activation of procollagenase is prevented because trypsin and kallikrein are inhibited by Aprotinin.
在术后早期(术后第三天),给予抑肽酶后结肠肠切开术的破裂压力比对照组高45%(p<0.02)。术后第五天,两组之间未发现差异。由于未测定胶原蛋白含量和胶原酶活性等特定参数,结果的解释很困难。必须讨论结肠吻合口破裂与胶原酶之间的关系以及胶原酶抑制问题。有人认为,由于抑肽酶抑制了胰蛋白酶和激肽释放酶,从而阻止了前胶原酶的激活。