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部分肝切除术后正常肝再生过程中的尿素排泄、半乳糖清除及氨基比林消失情况。与所报道的其他功能测试的比较。

Urea excretion, galactose elimination, and aminopyrine disappearance during normal liver regeneration after partial hepatectomy. Comparison with other function tests reported.

作者信息

Zieve L, Lyftogt C, Draves K, Raphael D

出版信息

J Lab Clin Med. 1984 Jul;104(1):24-34.

PMID:6736749
Abstract

After removal of 70% of normal rat liver, liver weight was 37% of control at 3 1/2 hours and 49% at 24 hours. Urea formation per gram liver after an NH4+ load and galactose elimination per gram liver were well-preserved during this early posthepatectomy period. At 46 hours after removal, galactose elimination was transiently less than would be expected from liver weight. The aminopyrine disappearance rate fell to 50% to 63% of control values until 72 hours, when it decreased further to 43%, disproportionately less than liver weight. The disappearance rate per gram liver at this time was 63% of control. Serum bile acid concentration increased 17-fold by 24 hours, and was five times that of control concentration at 72 hours. Comparisons of these four measures and six other in vivo measures of function previously reported permitted a segregation of the livers into two groups according to liver function after hepatectomy: those that were disproportionately preserved or were proportional to the amount of liver present, and those that were disproportionately reduced in relation to liver weight. Four additional measurements reported in isolated perfused livers after hepatectomy were similarly segregated. It appears that those liver functions that most closely reflect cellular growth or associated changes in liver blood flow are preserved, whereas those that are possibly more specialized and differentiated are depressed during regeneration.

摘要

切除正常大鼠70%的肝脏后,术后3.5小时肝脏重量为对照组的37%,24小时时为49%。在肝切除术后的早期,每克肝脏在铵负荷后的尿素生成量和每克肝脏的半乳糖清除率均保持良好。切除后46小时,半乳糖清除率暂时低于根据肝脏重量预期的值。氨基比林消失率降至对照组值的50%至63%,直至72小时,此时进一步降至43%,与肝脏重量相比减少比例失调。此时每克肝脏的消失率为对照组的63%。血清胆汁酸浓度在24小时时增加了17倍,在72小时时是对照浓度的五倍。对这四项指标以及先前报道的其他六项体内功能指标进行比较后,根据肝切除术后的肝功能可将肝脏分为两组:一组肝功能保存比例与现存肝脏量不成比例或成比例,另一组肝功能相对于肝脏重量减少比例失调。肝切除术后在离体灌注肝脏中报道的另外四项测量结果也同样被分为两组。似乎那些最能反映细胞生长或肝脏血流相关变化的肝功能得以保留,而那些可能更具特异性和分化性的肝功能在再生过程中受到抑制。

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