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梗阻性黄疸是否会对伤口愈合产生不利影响?

Does obstructive jaundice adversely affect wound healing?

作者信息

Greaney M G, Van Noort R, Smythe A, Irvin T T

出版信息

Br J Surg. 1979 Jul;66(7):478-81. doi: 10.1002/bjs.1800660708.

Abstract

The effect of obstructive jaundice on wound healing has been investigated in an experimental study of abdominal wounds in rats following ligation and division of the common bile duct. Animals were jaundiced for 2 weeks before a second operation at which the abdominal wounds were made. The wounds in jaundiced and control animals showed no significant differences in mechanical strength during a 21-day period of study but there was a significant delay in the accumulation of collagen in the wounds of jaundiced animals. The findings suggest that the biochemical changes in the wounds of jaundiced animals did not interfere with wound repair and cast doubt on the thesis that jaundice has an adverse effect on wound healing.

摘要

在一项对大鼠进行胆总管结扎和切断后腹部伤口的实验研究中,已对梗阻性黄疸对伤口愈合的影响进行了调查。在进行第二次手术制造腹部伤口前,动物已黄疸2周。在为期21天的研究期间,黄疸动物和对照动物的伤口在机械强度上无显著差异,但黄疸动物伤口中胶原蛋白的积累明显延迟。这些发现表明,黄疸动物伤口中的生化变化并未干扰伤口修复,也对黄疸对伤口愈合有不利影响这一论点提出了质疑。

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