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梭曼中毒对家兔血液学、凝血参数及血清生物化学的影响。

Effects of soman poisoning on hematology and coagulation parameters and serum biochemistry in rabbits.

作者信息

Lee M J, Clement J G

机构信息

Biomedical Defence Section, Defence Research Establishment Suffield, Ralston, Alta, Canada.

出版信息

Mil Med. 1990 Jun;155(6):244-9.

PMID:2122298
Abstract

The effects of soman poisoning on hematological (counts of red blood cells (RBC), white blood cells (WBC), and platelets and measurement of hematocrit) and coagulation parameters (prothrombin time, activated partial thromboplastin time, thrombin time and concentrations of fibrinogen, factor V, factor VII, and factor XI) and serum biochemistry (concentration of albumin, protein, calcium, cholesterol, triglycerides, blood urea nitrogen (BUN), magnesium, and creatinine and activities of alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, cholinesterase, creatinine phosphokinase (CPK), hydroxybutyrate dehydrogenase, and amylase) were determined at 1, 2, 4, 24, and 48 hours after poisoning of rabbits. There were significant (p less than 0.05) decreases in the RBC counts in all treatment groups that were measured initially at 4 hours and were reflected by parallel decreases in the hematocrit values. These changes were probably due to an increase in the hemolysis of the RBC rather than a decrease in the production of RBC. There were minor changes in the coagulation parameters. Generally, the fibrinogen content increased. The activated partial thromboplastin time decreased significantly (p less than 0.05) 24 and 48 hours after soman (50 micrograms/kg) poisoning. Blood cholinesterase values were significantly reduced in all treatment groups at all time periods. The CPK activity was increased after 4 and 24 hours in the 20 and 50 micrograms/kg soman groups. There were minor changes in the other biochemistry values, but none that showed a dose-response relationship; thus, they were considered to be of limited significance with regard to the toxic manifestations of soman exposure.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在兔中毒后1小时、2小时、4小时、24小时和48小时,测定了梭曼中毒对血液学指标(红细胞(RBC)计数、白细胞(WBC)计数、血小板计数及血细胞比容测定)、凝血参数(凝血酶原时间、活化部分凝血活酶时间、凝血酶时间及纤维蛋白原、因子V、因子VII和因子XI浓度)和血清生化指标(白蛋白、蛋白质、钙、胆固醇、甘油三酯、血尿素氮(BUN)、镁、肌酐浓度及碱性磷酸酶、丙氨酸氨基转移酶、天冬氨酸氨基转移酶、胆碱酯酶、肌酸磷酸激酶(CPK)、羟丁酸脱氢酶和淀粉酶活性)的影响。所有治疗组最初在4小时时测定的RBC计数均显著下降(p<0.05),血细胞比容值也呈平行下降。这些变化可能是由于RBC溶血增加而非RBC生成减少所致。凝血参数有轻微变化。一般来说,纤维蛋白原含量增加。梭曼(50微克/千克)中毒后24小时和48小时,活化部分凝血活酶时间显著缩短(p<0.05)。所有治疗组在所有时间段的血液胆碱酯酶值均显著降低。20微克/千克和50微克/千克梭曼组在4小时和24小时后CPK活性增加。其他生化指标有轻微变化,但均未显示出剂量反应关系;因此,就梭曼暴露的毒性表现而言,它们被认为意义有限。(摘要截断于250字)

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