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[单肾实验性切除术中的最佳局部低温方案]

[Optimal local hypothermia regimen in the experimental resection of the single kidney].

作者信息

Seregin Iu A, Vasilenko V A, Kalashnikova N N

出版信息

Vestn Khir Im I I Grek. 1979 Oct;123(10):58-61.

PMID:505807
Abstract

The morphological and functional changes of the single kidney were investigated in experiment on 133 dogs after removal of 45--50% of its tissue. Resection of the single kidney under normothermal conditions was established to result in the animal's death within 1--14 days due to acute renal insufficiency. The operation executed under conditions of cooling to 25 degrees C is of high risk. Resection under 5 degrees C hypothermia fails to cause an acute renal insufficiency but considerably disturbs the renal function. The use of local hypothermia to 15 degrees C in resection of the single kidney gives the optimal temperature regimen since it prevents the development of acute renal insufficiency and the compensatory-restorative processes in the kidney can develop successfully.

摘要

在133只狗身上进行实验,切除其单肾组织的45% - 50%,研究单肾的形态和功能变化。结果表明,在常温条件下切除单肾会导致动物在1 - 14天内死于急性肾功能不全。在冷却至25摄氏度的条件下进行手术风险很高。在5摄氏度低温下切除不会引起急性肾功能不全,但会严重扰乱肾功能。在切除单肾时使用局部低温至15摄氏度可提供最佳温度方案,因为它可防止急性肾功能不全的发生,并且肾脏中的代偿 - 恢复过程能够成功发展。

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