Winkler K, Keiding S, Tønnesen K, Tygstrup N
Eur J Clin Invest. 1986 Apr;16(2):106-12. doi: 10.1111/j.1365-2362.1986.tb01316.x.
The effects of hypoxaemia and ischaemia were compared in the perfused pig liver. Decreased hepatic oxygen uptake, galactose elimination, ATP phosphorylation and increased lactate output occurred when the oxygen supply was diminished below 55% of the mean of controls. Below the control limits for oxygen uptake and oxidative phosphorylation, the change in the above variables were correlated to the degree of hypoxia, with no quantitative differences regarding ischaemic or hypoxaemic hypoxia. Galactose elimination was correlated to the ATP concentration (r = 0.81). After 80 min of hypoxia almost complete recovery was seen. It can be inferred from the data that other factors than oxygen diffusion into the liver cells may limit oxidative metabolism. Long and severe hypoxia may be required before irreversible cellular damage occurs in the liver.
在灌注猪肝中比较了低氧血症和缺血的影响。当氧气供应减少至低于对照组平均值的55%时,肝脏摄氧量、半乳糖清除率、ATP磷酸化降低,乳酸产量增加。在低于摄氧量和氧化磷酸化的对照限度时,上述变量的变化与缺氧程度相关,缺血性或低氧性缺氧在数量上无差异。半乳糖清除率与ATP浓度相关(r = 0.81)。缺氧80分钟后可见几乎完全恢复。从这些数据可以推断,除了氧气扩散到肝细胞之外的其他因素可能会限制氧化代谢。在肝脏发生不可逆的细胞损伤之前,可能需要长时间的严重缺氧。