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[实验性大肠杆菌内毒素休克所致肝脾变化的超微结构研究——特别提及小剂量肝素治疗的作用]

[An ultrastructural study of the changes of the liver and spleen induced by experimental E. coli endotoxin shock--with special reference to effects of the low-dose heparin therapy].

作者信息

Toba M

出版信息

Nihon Geka Gakkai Zasshi. 1984 Aug;85(8):778-90.

PMID:6387435
Abstract

Firstly, the author has investigated how low-dose heparin had influence on reticuloendothelial system of the normal Wistar rats. Secondly, the effect of the low-dose heparin therapy on E. coli endotoxin shock was investigated as to the ultrastructural changes of the liver and spleen of rats. Activation of the phagocytosis which was substantiated by increased uptake of the carbon was observed in heparin administered rats. In this group, abundant development of intra-cellular organellae was noted in the cytoplasm of the hepatic Kupffer cells, macrophages and reticulum cells of the spleen. The E.coli endotoxin administration resulted in formation of micro-thrombi in sinusoidal spaces of the liver at 4 hours after administration. The Kupffer cells also involved in striking disintegration and necrosis. Similarly the sinusoidal lining cells were denudated with disintegration and necrosis. The above-mentioned changes persisted for long term, while the changes less in heparin administered group. The active phagocytic process was discernible in the latter group. Cellular preservation was also excellent in the spleen. The mortality was lower in initial heparin-treated group in comparison with that of untreated control group.

摘要

首先,作者研究了低剂量肝素对正常Wistar大鼠网状内皮系统的影响。其次,就大鼠肝脏和脾脏的超微结构变化而言,研究了低剂量肝素治疗对大肠杆菌内毒素休克的影响。在给予肝素的大鼠中观察到吞噬作用的激活,这通过碳摄取增加得到证实。在该组中,肝库普弗细胞、巨噬细胞和脾脏网状细胞的细胞质中可见丰富的细胞内细胞器发育。给予大肠杆菌内毒素后4小时,肝脏窦状隙内形成微血栓。库普弗细胞也出现明显的崩解和坏死。同样,窦状隙衬里细胞剥脱并伴有崩解和坏死。上述变化持续时间较长,而在给予肝素的组中变化较小。在后一组中可观察到活跃的吞噬过程。脾脏中的细胞保存也很好。与未治疗的对照组相比,初始肝素治疗组的死亡率较低。

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