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胆汁抽吸:一项在兔子身上的实验研究。

Bile aspiration: an experimental study in rabbits.

作者信息

Henderson R D, Fung K, Cullen J B, Milne E N, Marryatt G

出版信息

Can J Surg. 1975 Jan;18(1):64-9.

PMID:235362
Abstract

It has been shown that bile injected intratracheally in rabbits produces severe pulmonary edema, atelectasis, and focal hemorrhages. The authors investigated the effect of a number of solutions, including physiological concentration of bile, hydrochloric acid pH 1.0, bile salt diluted to 1%, and bile at 100% concentrations. Whenever the bile concentration exceeded 3%, none of the test animals survived. It is not possible to apply directly the results of an experimental animal study to humans. However, the severity of the pulmonary changes produced force the conclusion that bile is a potentially dangerous aspirate in humans.

摘要

已表明,经气管内注入家兔体内的胆汁会引发严重的肺水肿、肺不张和局灶性出血。作者研究了多种溶液的作用,包括生理浓度的胆汁、pH值为1.0的盐酸、稀释至1%的胆盐以及浓度为100%的胆汁。只要胆汁浓度超过3%,所有受试动物均未能存活。将实验动物研究的结果直接应用于人类是不可能的。然而,所产生的肺部变化的严重程度促使得出这样的结论:胆汁在人类中是一种潜在危险的误吸物。

相似文献

1
Bile aspiration: an experimental study in rabbits.胆汁抽吸:一项在兔子身上的实验研究。
Can J Surg. 1975 Jan;18(1):64-9.
2
Effect of pH on bile salt injury to mouse gastric mucosa. A light- and electron-microscopic study.pH对胆盐损伤小鼠胃黏膜的影响。光镜和电镜研究。
Gastroenterology. 1975 Jun;68(6):1456-65.
3
Failure of cholestyramine to prevent bile salt injury to mouse gastric mucosa.
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4
Surfactant therapy for pulmonary edema due to intratracheally injected bile acid.经气管内注射胆汁酸所致肺水肿的表面活性剂治疗
Crit Care Med. 1990 Jan;18(1):77-83. doi: 10.1097/00003246-199001000-00017.
5
Comparison of oxygen poisoning of the lung in cyanotic and acyanotic dogs.
N Engl J Med. 1970 Apr 23;282(17):943-7. doi: 10.1056/NEJM197004232821703.
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[Respiratory and circulatory changes after the intratracheal infusion of bile acids in dogs].[犬气管内注入胆汁酸后的呼吸和循环变化]
Masui. 1989 Nov;38(11):1411-20.
7
The acute effect of acid aspiration on lung mechanics and gas exchange in the rabbit.酸误吸对家兔肺力学和气体交换的急性影响。
Isr J Med Sci. 1971 Nov;7(11):1271-5.
8
[Pulmonary complications caused by acute narcotic poisoning].[急性麻醉药中毒所致肺部并发症]
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Experimental acid-aspiration pneumonia in the rabbit. A pathologic and morphometric study.兔实验性酸吸入性肺炎。一项病理学和形态计量学研究。
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Acute histologic effects of simulated large-volume aspiration of sucralfate into the lungs of rats.硫糖铝模拟大剂量吸入大鼠肺部的急性组织学效应
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引用本文的文献

1
Analysis of the protective biochemical and pathologic effects of aminoguanidine on an experimental aspiration pneumonitis model induced by bile acids.氨基胍对胆汁酸诱导的实验性吸入性肺炎模型的保护性生化及病理作用分析
Curr Ther Res Clin Exp. 2012 Dec;73(6):207-19. doi: 10.1016/j.curtheres.2012.08.002.
2
An association of gastroschisis and fatal respiratory distress: does prenatal bile aspiration cause early-onset respiratory failure in neonates?
Pediatr Surg Int. 2008 Oct;24(10):1157-9. doi: 10.1007/s00383-008-2223-8.
3
Laryngospasm and reflex central apnoea caused by aspiration of refluxed gastric content in adults.成人反流胃内容物误吸所致喉痉挛及反射性中枢性呼吸暂停
Gut. 1989 Feb;30(2):233-8. doi: 10.1136/gut.30.2.233.
4
Bile salt-induced intracellular Ca++ accumulation in type II pneumocytes.胆汁盐诱导II型肺细胞内钙离子蓄积
Lung. 1990;168(6):297-308. doi: 10.1007/BF02719707.