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[高压氧疗对健康机体心肌实验作用的形态功能方面]

[Morphofunctional aspects of the experimental effect of hyperbaric oxygenation on the myocardium of the healthy organism].

作者信息

Rossinskaia V V, Shliapnikov V N, Uglova M V

出版信息

Arkh Patol. 1978;40(1):49-54.

PMID:629650
Abstract

Changes in the myocardium arter numerous treatments with hyperbaric oxygenation (HBO) (PO2 3 technical atmospheres, time of saturation--45 min) were studied by morphological, histochemical and enzymohistochemical methods in 50 rabbits. Three stages were found to occur in the development of these changes: 1) functional-morphological changes (1--3 seanses of HBO), 2) early morphological changes (4--5 seanses), 3) marked morphological lesions (6--8 seanses). The first three treatments produce reversible changes on the part of metabolic processes (a reduction in the content of glycogen and changes in the activity of oxidoreductases: succinate-, malate- and lactate dehydrogenase). Morphological signs of oxygen toxicity in the form of disorders in hemodynamics and microcirculation, and dystrophy of cardiomyocytes appear after 4 seanses of HBO and increase with further treatment. The experimental data permit to recommend short HBO courses (1--3 seanses) for therapeutic application.

摘要

采用形态学、组织化学和酶组织化学方法,对50只家兔经多次高压氧治疗(PO2为3个技术大气压,饱和时间为45分钟)后的心肌变化进行了研究。发现这些变化的发展过程分为三个阶段:1)功能形态学变化(高压氧治疗1 - 3次),2)早期形态学变化(4 - 5次),3)明显的形态学损伤(6 - 8次)。前三次治疗会使代谢过程发生可逆性变化(糖原含量降低以及氧化还原酶活性改变:琥珀酸脱氢酶、苹果酸脱氢酶和乳酸脱氢酶)。高压氧治疗4次后会出现以血液动力学和微循环紊乱以及心肌细胞营养不良形式表现的氧中毒形态学迹象,并随着进一步治疗而加重。实验数据表明推荐将短疗程高压氧治疗(1 - 3次)用于治疗。

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