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[纤溶药物预防粘连的副作用——可吸收缝线材料和纤维蛋白胶的体外研究]

[Side effects of adhesion prevention by fibrinolytic drugs--in vitro studies of resorbable suture material and fibrin glue].

作者信息

Wendt P

机构信息

Institut für Experimentelle Chirurgie der TU München.

出版信息

Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:1047-50.

PMID:1983483
Abstract

Surgical threads of a variety of resorbable suture materials (Cat plain and Chrom Cat, Serag Wiessner, Polyglactin 910 and Polydioxanon, Ethicon and polyglycolic acid, Dexon) were incubated up to 7 days at 37 degrees C in Varidase-containing media (Lederle Cyanamid, 1000 IU/ml in 0.9% NaCl or citrated human plasma). Thereafter the knot-breaking strength remained within 90.0 and 108.2% of the respective control threads (incubation in Varidase-free media, n = 7, n.s.). The dose-dependent lysis of fibrin glue by Varidase is effectively inhibited by small amounts of aprotinin (15 KIU/ml as compared with 1000-3000 KIU/ml in routine application). The inhibitor is bound to the matrix and not readily eluted.

摘要

将多种可吸收缝合材料制成的手术缝线(普通羊肠线和铬制羊肠线、Serag Wiessner、聚乙醇酸910和聚二氧杂环己酮、Ethicon和聚乙醇酸、Dexon)在含链激酶的培养基(Lederle Cyanamid,在0.9%氯化钠或枸橼酸化人血浆中为1000 IU/ml)中于37℃孵育长达7天。此后,打结断裂强度保持在各自对照缝线(在无链激酶的培养基中孵育,n = 7,无显著性差异)的90.0%至108.2%范围内。少量抑肽酶(15 KIU/ml,而常规应用中为1000 - 3000 KIU/ml)可有效抑制链激酶对纤维蛋白胶的剂量依赖性溶解。该抑制剂与基质结合,不易洗脱。

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Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:1047-50.
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