Grundmann R, Kürten K, Bromberger G, Pichlmaier H
Res Exp Med (Berl). 1979 Oct;176(1):37-49. doi: 10.1007/BF01852110.
37 canine kidneys were intermittently perfused with Collins- or Sacks-solution every 2--6 h. 32 of these kidneys were transplanted after 12--24 h storage time. Additionally, 24 kidneys were stored under hypothermia for 12--24 h and then transplanted (control group). During perfusion the oxygen consumption of the kidneys and the enzyme and lactate release were measured. It was impossible to improve the results of hypothermic storage preservation by intermittent perfusion of the kidneys, on the contrary kidney function deteriorated by the number of perfusion processes. The failure of intermittent perfusion is caused by the increase of renal vascular resistance during perfusion. From the oxygen consumption and lactate release measurement it was concluded, that the washout solutions for kidney preservation should contain more substrate which can be utilized under anaerobic conditions to improve the results of hypothermic storage preservation.
37只犬肾每隔2 - 6小时用柯林斯液或萨克斯液进行间歇性灌注。其中32只肾在储存12 - 24小时后进行移植。另外,24只肾在低温下储存12 - 24小时后进行移植(对照组)。在灌注过程中,测量了肾的耗氧量、酶和乳酸释放量。通过对肾进行间歇性灌注来改善低温储存保存的结果是不可能的,相反,肾功能会因灌注次数而恶化。间歇性灌注失败是由灌注期间肾血管阻力增加引起的。从耗氧量和乳酸释放量的测量结果得出结论,用于肾保存的冲洗液应含有更多可在无氧条件下利用的底物,以改善低温储存保存的结果。