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无菌犬的肠梗阻

Intestinal obstruction in germ-free dogs.

作者信息

Heneghan J B, Robinson J W, Menge H, Winistörfer B

出版信息

Eur J Clin Invest. 1981 Aug;11(4):285-90. doi: 10.1111/j.1365-2362.1981.tb02118.x.

Abstract

Mechanical occlusions were created in the intestines of four germ-free dogs. At the time of the operation, a control loop of mid-intestine was perfused in vivo and then excised for examinations in vitro, which included the determination of the equilibrium uptake of phenylalanine and of beta-methyl-glucoside, the influx kinetics of phenylalanine and morphometric analysis of the mucosa by microdissection and stereological techniques. Seven days after establishment of the occlusion the abdomen was reopened, and loops above and below the occlusion were perfused, and then excised for the same tests in vitro. Unlike occluded loops of conventional dogs, the intestine of the germ-free animal above the occlusion does not secrete water and electrolytes into the lumen. Its transport properties in vitro do not differ from those of the control loop, and the morphometric analyses reveal only slight changes in villus structure. The loop below the obstruction undergoes marked atrophy, as has been observed in conventional dogs. The results suggest that the copious secretion that occurs above an intestinal obstruction in normal animals is due to the presence of an abundant bacterial population in the obstruction fluid.

摘要

在四只无菌犬的肠道中制造机械性梗阻。手术时,一段中段肠管的对照肠袢在体内进行灌注,然后切除用于体外检查,包括测定苯丙氨酸和β-甲基葡糖苷的平衡摄取、苯丙氨酸的流入动力学以及通过显微解剖和体视学技术对黏膜进行形态计量分析。梗阻建立七天后,再次打开腹腔,对梗阻上方和下方的肠袢进行灌注,然后切除用于相同的体外试验。与传统犬的梗阻肠袢不同,无菌动物梗阻上方的肠道不会向肠腔内分泌水和电解质。其体外转运特性与对照肠袢无异,形态计量分析仅显示绒毛结构有轻微变化。梗阻下方的肠袢发生明显萎缩,这与在传统犬中观察到的情况相同。结果表明,正常动物肠梗阻上方出现的大量分泌是由于梗阻液中存在大量细菌。

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