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大鼠70%肝切除术后肝脏尿素氮合成能力、半乳糖清除率及安替比林清除率的变化

Changes in the hepatic capacity of urea-N synthesis, galactose elimination and antipyrine clearance following 70% hepatectomy in the rat.

作者信息

Adel Hansen B, Enghusen Poulsen H

出版信息

Scand J Clin Lab Invest. 1986 May;46(3):233-7. doi: 10.3109/00365518609083664.

Abstract

The capacity of urea-N synthesis (CUNS), galactose elimination capacity (GEC), and antipyrine clearance (APC) was investigated in rats 0, 3, 6, 24, 96, and 240 h after 70% hepatectomy. Sham-operated animals were used as controls. The CUNS was assessed during alanine infusion as urea accumulation in total body water, corrected for intestinal hydrolysis, GEC was measured during constant galactose infusion, and APC by the one-sample method. Immediately after the 70% hepatectomy, CUNS was reduced from 8.9 +/- 2.4 to 3.9 +/- 1.1 mumol (min X 100 g body wt)-1 (mean +/- SD, p less than 0.05), that is, 0.43 times the control value. The corresponding reduction in liver weight was 0.36. After 6 h CUNS rose to 0.62 times the control values versus 0.36 for the liver weight. The recovery of GEC and APC was slower than the recovery of the liver weight, and was only restored to 0.81 and 0.59 times the control value (p less than 0.05), respectively, after 240 h. This study demonstrates that after partial hepatectomy the capacity of urea-N synthesis rate is increased, that is, a compensatory hyperfunction of the remnant liver, and that this function is restored to normal more rapidly than other measures of functional liver mass.

摘要

在大鼠进行70%肝切除术后0、3、6、24、96和240小时,对其尿素氮合成能力(CUNS)、半乳糖清除能力(GEC)和安替比林清除率(APC)进行了研究。假手术动物用作对照。CUNS在输注丙氨酸期间通过测定全身水中尿素的积累量来评估,并校正肠道水解;GEC在持续输注半乳糖期间进行测量;APC采用单样本法测定。70%肝切除术后即刻,CUNS从8.9±2.4降至3.9±1.1μmol/(min×100g体重)-1(平均值±标准差,p<0.05),即对照组值的0.43倍。肝脏重量相应减少了0.36。6小时后,CUNS升至对照组值的0.62倍,而肝脏重量为0.36倍。GEC和APC的恢复比肝脏重量的恢复慢,在240小时后分别仅恢复至对照组值的0.81和0.59倍(p<0.05)。本研究表明,部分肝切除术后尿素氮合成速率的能力增加,即残余肝脏的代偿性功能亢进,且该功能比功能性肝质量的其他指标恢复正常的速度更快。

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