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组织缺血与高压氧治疗:一项实验研究。

Tissue ischemia and hyperbaric oxygen treatment: an experimental study.

作者信息

Nylander G

出版信息

Acta Chir Scand Suppl. 1986;533:1-109.

PMID:3469842
Abstract

The results of the present experiments showed that The general post-burn edema in a scald burn model was reduced with HBO treatment and the water content in the contralateral unburned mouse ear did not statistically significantly differ from that of uninjured untreated animals. In post-ischemic skeletal muscle there was an increased water content from 5 hours to 48 hours after tourniquet ischemia of 3 hours duration. HBO treatment reduced the edema and the reduction persisted for 40 hours after the last treatment. The stores of high energy phosphate compounds were depleted after 3 hours of skeletal muscle ischemia. Repeated HBO treatments resulted in increased levels of ATP and PCr and decreased lactate levels. Reduction of phosporylase activity, a sensitive marker for muscle cell damage, is to a great extent prevented by HBO treatment in the post-ischemic phase.

摘要

本实验结果表明,在烫伤模型中,高压氧治疗可减轻烧伤后的一般性水肿,对侧未烧伤的小鼠耳部含水量与未受伤且未接受治疗的动物相比,差异无统计学意义。在3小时的止血带缺血后,缺血后骨骼肌在5小时至48小时内含水量增加。高压氧治疗可减轻水肿,且在最后一次治疗后40小时水肿持续减轻。骨骼肌缺血3小时后,高能磷酸化合物储备耗尽。重复进行高压氧治疗可使三磷酸腺苷(ATP)和磷酸肌酸(PCr)水平升高,乳酸水平降低。磷酸化酶活性是肌肉细胞损伤的敏感标志物,在缺血后阶段,高压氧治疗在很大程度上可防止其活性降低。

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