Kudriavtseva M V, Shashkov B V, Belotserkovskaia E A, Fedorov L Iu, Kudriavtsev B N
Tsitologiia. 1988 Dec;30(12):1449-53.
A cytofluorometric study was made of the total glycogen and its of fractions in liver cells of patients with hard mechanic trauma with or without intoxication. For studying glycogen dynamics in the course of traumatic illness, the aspiration biopsy material was obtained (30 patients) using repeated liver biopsy of one and the same patient. The total glycogen was found to change insignificantly in liver cells of patients with traumatic illness, both under favourable conditions and with intoxication, and at the normal level. The labile glycogen fraction in liver cells of patients with traumatic illness without intoxication is contained almost at the normal level (80-95%) of the total glycogen and is not changed for a long time. At that time the relative content of the labile glycogen fraction decreases appreciably in some cases to 45-50% due to intoxication development. A relative content of the labile glycogen fraction in hepatocytes with hard mechanical intoxication correlates well with the degree of intoxication. This makes hepatocyte glycogen microfluorometry a diagnostic tool in measuring the functional state of liver in the course of intoxication.
对有或无中毒情况的严重机械性创伤患者的肝细胞中的总糖原及其组分进行了细胞荧光测定研究。为了研究创伤性疾病过程中的糖原动态变化,通过对同一患者进行多次肝脏活检获取了抽吸活检材料(30例患者)。结果发现,无论是在有利条件下还是伴有中毒时,创伤性疾病患者肝细胞中的总糖原变化均不显著,且处于正常水平。无中毒的创伤性疾病患者肝细胞中的不稳定糖原组分几乎占总糖原的正常水平(80 - 95%),且长时间不变。然而,在某些情况下,由于中毒的发展,不稳定糖原组分的相对含量会明显下降至45 - 50%。伴有严重机械性中毒的肝细胞中不稳定糖原组分的相对含量与中毒程度密切相关。这使得肝细胞糖原微荧光测定成为评估中毒过程中肝脏功能状态的一种诊断工具。