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[肾上腺切除术及抗肾上腺素制剂对烧伤患者血液中酶活性升高及生化变化发展的影响]

[Effect of adrenalectomy and anti-adrenergic preparations on the development of hyperenzymic and biochemical changes in the blood in burns].

作者信息

Petrov V N, Khlopovskaia E I, Dubovik B V, Britun A I

出版信息

Vopr Med Khim. 1984 Jul-Aug;30(4):64-7.

PMID:6209853
Abstract

Activities of alpha-hydroxybutyrate- and lactate dehydrogenases (HBDH, LDH), aspartate- and alanine aminotransferases (AST, ALT), alkaline phosphatase, alpha-amylase as well as content of total proteins, glucose, cholesterol, triglycerides and Ca2+ were estimated sprectrophotometrically in blood serum of rat males within 2 hrs after thermic burns of the III degree involving 15% the body surface. The burns caused about 2-fold increase in activities of LDH, HBDH and AST and in content of triglycerides in blood serum but did not affect the other biochemical patterns. Adrenalectomy, carried out within 3 days before the burns, accelerated and pseudoadrenalectomy decreased the early postburn enzymatic activation. Preadministration of reserpine, phentolamine and obsidane (propranolol) decreased distinctly the hyperenzymic reaction observed after the burn stress.

摘要

在涉及15%体表面积的III度热烧伤后2小时内,用分光光度法测定了雄性大鼠血清中α-羟基丁酸脱氢酶和乳酸脱氢酶(HBDH、LDH)、天冬氨酸氨基转移酶和丙氨酸氨基转移酶(AST、ALT)、碱性磷酸酶、α-淀粉酶以及总蛋白、葡萄糖、胆固醇、甘油三酯和Ca2+的含量。烧伤导致血清中LDH、HBDH和AST的活性以及甘油三酯含量增加约2倍,但不影响其他生化指标。在烧伤前3天进行肾上腺切除术会加速,而假肾上腺切除术会降低烧伤后早期的酶激活。预先给予利血平、酚妥拉明和奥昔丹(普萘洛尔)可明显降低烧伤应激后观察到的高酶反应。

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