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在输注前列环素期间氩激光诱导微血栓形成的实验研究

Experimental study of argon laser-induced microthrombosis during PGI2 infusion.

作者信息

Boncinelli S, Nerucci P, Marsili M, Lorenzi P, Fenati E, Di Stefano L C, Biagiotti S, Giovannoni L

出版信息

Eur Surg Res. 1987;19(3):171-7. doi: 10.1159/000128697.

Abstract

In order to evaluate the Argon laser-induced microthrombogenesis during prostacyclin (PGI2) infusion on newly formed microcirculation in the rabbit ear chamber, time-space parameters have been calculated in 118 observations subdivided into 4 groups according to the type and size of the vessels irradiated. The observations were carried out without drug treatment, with continuous infusion of pH 10.5 glycine buffer and with continuous infusion of PGI2 at the dosage of 125 ng X kg-1 X min-1 diluted in the glycine buffer. The results indicated that during PGI2 infusion the size of the thrombus, measured by maximal thrombus area, was always significantly less extended than in untreated animals. Moreover, the number of emboli detached during the first 5 min after laser exposure, measured by rate of embolization, during PGI2 infusion in venules and in the larger arterioles was smaller than in untreated animals. The vasoconstriction which usually takes place in the arteriolar vessels--upstream and downstream from the irradiated site--was in no way modified by the infusion of PGI2. Finally, it was noted that glycine buffer infusion showed an unforeseen activity on laser-induced vascular reactivity.

摘要

为了评估在输注前列环素(PGI2)期间,氩激光诱导的微血栓形成对兔耳室新形成的微循环的影响,根据受照射血管的类型和大小,将118次观察结果分为4组,并计算了时空参数。观察在无药物治疗、持续输注pH 10.5甘氨酸缓冲液以及在甘氨酸缓冲液中以125 ng·kg-1·min-1的剂量持续输注PGI2的情况下进行。结果表明,在输注PGI2期间,通过最大血栓面积测量的血栓大小,始终明显小于未治疗动物。此外,在激光照射后的前5分钟内,通过栓塞率测量的小静脉和较大动脉在输注PGI2期间脱落的栓子数量,比未治疗动物少。通常在照射部位上游和下游的小动脉血管中发生的血管收缩,并未因输注PGI2而改变。最后,注意到输注甘氨酸缓冲液对激光诱导的血管反应性显示出意外的活性。

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