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实验性粪性腹膜炎导致的多器官损伤。

Multi-organ damage resulting from experimental faecal peritonitis.

作者信息

Tighe D, Moss R, Boghossian S, Heath M F, Chessum B, Bennett E D

机构信息

Department of Medicine I, St Georges Hospital Medical School, London.

出版信息

Clin Sci (Lond). 1989 Mar;76(3):269-76. doi: 10.1042/cs0760269.

DOI:10.1042/cs0760269
PMID:2522365
Abstract
  1. Using specific-pathogen-free New Zealand White rabbits, we have compared the effects of faecal peritonitis over a period of 5 h in eight test animals with eight controls in which a sham operation was performed. 2. There was morphological damage to lungs, liver and spleen of test animals. Lung capillaries and sinusoids of the liver showed occlusion by cell debris and leucocytes, with endothelial damage. The lungs also showed alveolar epithelial disruption, basement membrane exposure and type II pneumocytes lacking lamellar bodies. In the liver there was fibrin deposition and swollen Kupffer cells. The spleen showed degranulating neutrophils, fibrin deposits, platelet aggregates and activated macrophages, with no damage to the endothelium. 3. There was no morphological damage to the kidney or heart of test animals or to any organs of sham-operated animals. 4. There were mixed anaerobes and aerobes in faecal material used to induce peritonitis. Cultures of liver, spleen and kidney isolated four different types of micro-organisms. Blood cultures showed two types of micro-organisms. Cultures of lung and heart showed one type of micro-organism. 5. The presence of micro-organisms in an organ could not be correlated with the degree of histological damage to that organ. 6. In test animals an early significant reduction in circulating leucocytes and platelets was sustained for the duration of the experiment with significant diffuse intravascular coagulation. 7. There was no change in test animal neutrophil adhesiveness until 120 min, when significant reduction was observed. 8. Serum phospholipase A2 (EC 3.1.1.4) activity in the test group showed a threefold increase at 300 min.
摘要
  1. 我们使用无特定病原体的新西兰白兔,比较了8只试验动物在5小时内粪便性腹膜炎的影响,另有8只进行假手术的对照动物。2. 试验动物的肺、肝和脾出现形态学损伤。肺毛细血管和肝血窦被细胞碎片和白细胞阻塞,伴有内皮损伤。肺还表现为肺泡上皮破坏、基底膜暴露和II型肺泡细胞缺乏板层小体。肝脏有纤维蛋白沉积和库普弗细胞肿胀。脾脏显示中性粒细胞脱颗粒、纤维蛋白沉积、血小板聚集和活化巨噬细胞,内皮无损伤。3. 试验动物的肾脏或心脏以及假手术动物的任何器官均未出现形态学损伤。4. 用于诱导腹膜炎的粪便材料中存在兼性厌氧菌和需氧菌。肝脏、脾脏和肾脏培养物分离出四种不同类型的微生物。血培养显示两种微生物。肺和心脏培养物显示一种微生物。5. 器官中微生物的存在与该器官的组织学损伤程度无关。6. 在试验动物中,循环白细胞和血小板在实验过程中早期显著减少,并持续存在显著的弥漫性血管内凝血。7. 试验动物中性粒细胞黏附性在120分钟前无变化,之后观察到显著降低。8. 试验组血清磷脂酶A2(EC 3.1.1.4)活性在300分钟时增加了两倍。

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Multi-organ damage resulting from experimental faecal peritonitis.实验性粪性腹膜炎导致的多器官损伤。
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