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胰腺水肿和短期缺血对大鼠实验性急性胰腺炎的作用。II. 血清参数的变化

Contribution of pancreatic edema and short-term ischemia to experimental acute pancreatitis in the rat. II. Behaviour of serum parameters.

作者信息

Sokolowski A, Spormann H, Urbahn H, Letko G

出版信息

Z Exp Chir Transplant Kunstliche Organe. 1986;19(6):331-9.

PMID:3493593
Abstract

The biochemical characterization of experimental acute pancreatitis was performed by determination of the secretory enzymes lipase and alpha-amylase, of the cytoplasmic ALAT (alanine aminotransferase), of total protein and calcium concentration in serum of rats. The moderate and protracted course of the pathological process in the small animal model presented allowed to study the initial phase from 1-24 h. In the first 4-8 h most massive enzyme release into the intravasal space was observed. The level of enzyme activities was correlating with the severity of assault. One noxa alone (ischemia or juice edema) resulted in a moderate enzyme release (lipase : 2-2.5 fold of control). The action of both noxae caused a drastical increase in enzyme activities in the initial phase lipase : 8-20 fold, ALAT: 7 fold, alpha-Amylase: 2.5 fold). 24 h postoperatively the serum enzyme activities were at distinct pathological level. At this time acute pancreatitis provoked already a decreased serum protein content. A hypocalcemia was not observed.

摘要

通过测定大鼠血清中的分泌酶脂肪酶和α淀粉酶、细胞质丙氨酸转氨酶(ALAT)、总蛋白和钙浓度,对实验性急性胰腺炎进行了生化特征分析。在呈现的小动物模型中,病理过程的中度和迁延病程使得能够研究1 - 24小时的初始阶段。在最初的4 - 8小时内,观察到酶向血管内空间的释放最为大量。酶活性水平与攻击的严重程度相关。单独一种损伤因素(缺血或胰液水肿)导致酶的释放适度(脂肪酶:对照的2 - 2.5倍)。两种损伤因素共同作用导致初始阶段酶活性急剧增加(脂肪酶:8 - 20倍,ALAT:7倍,α淀粉酶:2.5倍)。术后24小时,血清酶活性处于明显的病理水平。此时,急性胰腺炎已经导致血清蛋白含量降低。未观察到低钙血症。

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