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[单纯性肠梗阻时肠道运动的肌电图研究]

[Electromyographical study of the intestinal movement in simple obstruction].

作者信息

Kawamura K

出版信息

Nihon Heikatsukin Gakkai Zasshi. 1983 Dec;19(6):441-53.

PMID:6679862
Abstract

An electromyographical study of the intestinal movement in simple obstruction was performed in dogs and the conclusions are as follows. When the intestinal tract was obstructed by a ligation apparatus, electromyographically spike waves disappeared reflectively in both upper and lower intestinal tracts in the ligation site, and the resting pattern showing only BER was maintained for 20 to 80 minutes. The spike waves which reappeared were blocked at the ligation site without conduction from upper part to lower part. A comparison of electric activities after obstruction shows that at the upper part activities started to increase earlier and then gradually decreased 5 hours after obstruction. Activities at the lower part, on the contrary, started to decline immediately and this declining tendency continued for long time. Abnormal propagation patterns appeared about 3 hours after obstruction and were observed at both the upper and lower parts of the ligation site. The propagation-velocity increased linearly for 7 hours after obstruction in the upper part and finally reach a plateau. At the lower part the velocity was nearly fixed at the control level. A comparison of BER frequency after obstruction shows that at the lower part of the ligation site the frequency decreased remarkably in an earlier period, while in the upper part it became prominent for 24 to 30 hours.

摘要

对犬单纯性肠梗阻时肠道运动进行了肌电图研究,结果如下。当肠道被结扎装置阻塞时,肌电图显示在结扎部位的上段和下段肠道中,棘波反射性消失,仅显示基本电节律(BER)的静息模式维持20至80分钟。重新出现的棘波在结扎部位受阻,无法从上段传导至下段。肠梗阻后电活动的比较表明,上段活动在梗阻后较早开始增加,然后在5小时后逐渐下降。相反,下段活动立即开始下降,且这种下降趋势持续很长时间。梗阻后约3小时出现异常传播模式,在结扎部位的上段和下段均有观察到。梗阻后上段传播速度在7小时内呈线性增加,最终达到平台期。下段速度几乎维持在对照水平。肠梗阻后BER频率的比较表明,在结扎部位下段,频率在早期显著降低,而上段在24至30小时变得突出。

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