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一种模拟人类结肠穿孔的多微生物腹部脓毒症大鼠模型的描述。

Description of a rat model of polymicrobial abdominal sepsis mimicking human colon perforation.

作者信息

Utiger Julia M, Glas Michael, Levis Anja, Prazak Josef, Haenggi Matthias

机构信息

Department of Intensive Care Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.

Department of Anaesthesiology and Pain Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.

出版信息

BMC Res Notes. 2021 Jan 7;14(1):14. doi: 10.1186/s13104-020-05438-y.

DOI:10.1186/s13104-020-05438-y
PMID:33413600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7790355/
Abstract

OBJECTIVE

Standard rodent sepsis models as cecal ligation and puncture models (CLP) or cecal ligation and incision models (CLI) are frequently not suited experiments, mainly because they lack surgical repair, and they are difficult to control for severity. The colon ascendens stent peritonitis model (CASP) overcomes some of these limitations.

RESULT

Here we present our modification of the rodent CASP model, where severity of sepsis can be controlled by timing of surgical repair and treatment, and by diameter of the stent. Further, basic hemodynamic monitoring (blood pressure and heart rate) and frequent blood sampling can be achieved, which might guide further treatment.

摘要

目的

标准的啮齿动物脓毒症模型,如盲肠结扎穿刺模型(CLP)或盲肠结扎切开模型(CLI),常常不适用于实验,主要是因为它们缺乏手术修复,且严重程度难以控制。升结肠支架腹膜炎模型(CASP)克服了其中一些局限性。

结果

在此,我们展示了对啮齿动物CASP模型的改良,脓毒症的严重程度可通过手术修复和治疗的时机以及支架直径来控制。此外,还可进行基本的血流动力学监测(血压和心率)以及频繁的血液采样,这可能会为进一步治疗提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c8b/7791742/cac96092bdcd/13104_2020_5438_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c8b/7791742/2d6009d9c9c4/13104_2020_5438_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c8b/7791742/cac96092bdcd/13104_2020_5438_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c8b/7791742/2d6009d9c9c4/13104_2020_5438_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c8b/7791742/cac96092bdcd/13104_2020_5438_Fig2_HTML.jpg

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本文引用的文献

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Incidence and Trends of Sepsis in US Hospitals Using Clinical vs Claims Data, 2009-2014.2009 - 2014年美国医院中使用临床数据与索赔数据的脓毒症发病率及趋势
JAMA. 2017 Oct 3;318(13):1241-1249. doi: 10.1001/jama.2017.13836.
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Sepsis modeling in mice: ligation length is a major severity factor in cecal ligation and puncture.小鼠脓毒症建模:在盲肠结扎和穿刺中,结扎长度是一个主要的严重程度因素。
Intensive Care Med Exp. 2016 Dec;4(1):22. doi: 10.1186/s40635-016-0096-z. Epub 2016 Jul 18.
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Sepsis: pathophysiology and clinical management.脓毒症:病理生理学与临床管理。
脓毒症建模,特别关注猪腹膜炎和菌血症的大型动物模型。
Front Physiol. 2023 Jan 10;13:1094199. doi: 10.3389/fphys.2022.1094199. eCollection 2022.
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Of mice and men: Laboratory murine models for recapitulating the immunosuppression of human sepsis.老鼠和人:用于重现人类脓毒症免疫抑制的实验室鼠类模型。
Front Immunol. 2022 Aug 5;13:956448. doi: 10.3389/fimmu.2022.956448. eCollection 2022.
5
CASP-Model Sepsis Triggers Systemic Innate Immune Responses Revealed by the Systems-Level Signaling Pathways.CASP 模型揭示了败血症触发系统固有免疫反应的系统水平信号通路。
Front Immunol. 2022 Jun 14;13:907646. doi: 10.3389/fimmu.2022.907646. eCollection 2022.
BMJ. 2016 May 23;353:i1585. doi: 10.1136/bmj.i1585.
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The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).《脓毒症及脓毒性休克第三次国际共识定义(脓毒症-3)》
JAMA. 2016 Feb 23;315(8):801-10. doi: 10.1001/jama.2016.0287.
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Optimizing mean arterial pressure in septic shock: a critical reappraisal of the literature.优化感染性休克中的平均动脉压:对文献的批判性重新评估。
Crit Care. 2015 Mar 10;19(1):101. doi: 10.1186/s13054-015-0794-z.
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JAMA. 2014 Jul 2;312(1):90-2. doi: 10.1001/jama.2014.5804.
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Trends Microbiol. 2011 Apr;19(4):198-208. doi: 10.1016/j.tim.2011.01.001.
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