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[实验性广泛化脓性腹膜炎时心脏的结构变化]

[Structural changes in heart at experimental widespread purulent peritonitis].

作者信息

Kosinets V A, Samsonova I V, Ryzhkovskaia E L

出版信息

Khirurgiia (Mosk). 2012(3):69-73.

Abstract

Structural changes in the heart are studied at an experimental widespread purulent peritonitis. It was established that in 6 hours after initiation of peritonitis in a myocardium the severe disorders of blood circulation, interstitial edema, the phenomena of kariopyknosis, development of systemic toxic damages specifying in high speed at this disease were observed. One of the mechanism of their development is a energy deficiency. The proof of this is destructive changes of cardiomyocytes mitochondria. The comparative analysis of use of metabolic preparations "Citoflavin", containing amber acid, and "Neoton", containing phosphocreatine, for the purpose of pharmacological support of cardiac activity at an experimental widespread purulent peritonitis has revealed high efficiency of the preparation "Citoflavin". It caused more intensive decrease of inflammatory changes in a myocardium, preventing of cardiomyocytes necrobiosis, contribution to preservation of normal structure and growth of quantity of mitochondria.

摘要

在实验性广泛化脓性腹膜炎中研究心脏的结构变化。已确定在腹膜炎开始后6小时,心肌中观察到严重的血液循环紊乱、间质水肿、核固缩现象以及该疾病中高速发展的全身中毒损害现象。其发展的机制之一是能量缺乏。对此的证据是心肌细胞线粒体的破坏性变化。为了在实验性广泛化脓性腹膜炎中对心脏活动进行药理支持,对含有琥珀酸的代谢制剂“细胞黄素”和含有磷酸肌酸的“诺托恩”的使用进行了比较分析,结果显示“细胞黄素”制剂具有高效性。它能更强烈地减轻心肌中的炎症变化,防止心肌细胞坏死,有助于维持线粒体的正常结构并增加其数量。

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