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脐动脉留置导管所致内膜损伤的超微结构研究

An ultrastructural study of the intimal injury induced by an indwelling umbilical artery catheter.

作者信息

Chidi C C, King D R, Boles E T

出版信息

J Pediatr Surg. 1983 Apr;18(2):109-15. doi: 10.1016/s0022-3468(83)80529-6.

DOI:10.1016/s0022-3468(83)80529-6
PMID:6854485
Abstract

In an experimental study, catheterization of the abdominal aorta with small umbilical artery catheters consistently produced significant intimal injury. The duration of catheterization varied from 1 hr to 7 days, and recovery periods following catheter removal varied from 1-150 days. Endothelial disruption was observed in all animals sacrificed within 24 hr of catheter removal. Healing progressed rapidly when the duration of catheterization was short, but was protracted with longer periods of catheterization. Thrombi were frequently found adhering to the exposed subendothelial surface. Routine light, scanning, and transmission electron microscopy demonstrated consistent cellular changes, which depended upon the duration of catheterization and the length of recovery periods. A consistent relationship between the degree of intimal injury and the duration of catheterization was observed.

摘要

在一项实验研究中,用小的脐动脉导管插入腹主动脉持续造成显著的内膜损伤。导管插入的持续时间从1小时到7天不等,拔除导管后的恢复期从1天到150天不等。在拔除导管后24小时内处死的所有动物中均观察到内皮破坏。当导管插入持续时间短时,愈合进展迅速,但随着导管插入时间延长而延迟。经常发现血栓附着于暴露的内皮下表面。常规光学显微镜、扫描电子显微镜和透射电子显微镜显示出一致的细胞变化,这些变化取决于导管插入的持续时间和恢复期的长短。观察到内膜损伤程度与导管插入持续时间之间存在一致的关系。

相似文献

1
An ultrastructural study of the intimal injury induced by an indwelling umbilical artery catheter.脐动脉留置导管所致内膜损伤的超微结构研究
J Pediatr Surg. 1983 Apr;18(2):109-15. doi: 10.1016/s0022-3468(83)80529-6.
2
Thrombogenicity of tips of umbilical catheters.脐静脉导管尖端的血栓形成倾向
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Coarctation of the abdominal aorta and renal artery stenosis related to an umbilical artery catheter placement in a neonate.一名新生儿因脐动脉导管置入导致腹主动脉缩窄和肾动脉狭窄。
Pediatrics. 2000 Sep;106(3):E36. doi: 10.1542/peds.106.3.e36.
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Ultrastructural changes in re-endothelialized and non-endothelialized rabbit aortic neo-intima following re-injury with a balloon catheter.球囊导管再次损伤后兔主动脉再内皮化和未内皮化新生内膜的超微结构变化
Br J Exp Pathol. 1984 Oct;65(5):597-611.
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Intimal healing. The pattern of reendothelialization and intimal thickening.内膜愈合。再内皮化和内膜增厚的模式。
Am J Pathol. 1977 Apr;87(1):125-42.
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Umbilical arterial catheter use: report of an audit conducted by the Study Group for Complications of Perinatal Care.脐动脉导管的使用:围产期护理并发症研究小组进行的一项审计报告。
Am J Perinatol. 1994 Mar;11(2):94-9. doi: 10.1055/s-2007-994564.
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Umbilical arterial rupture: a major complication of catheterization.脐动脉破裂:导管插入术的一种主要并发症。
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Thrombotic complication of umbilical arterial catheterization and its sequelae.脐动脉插管的血栓形成并发症及其后遗症。
Ann Acad Med Singap. 1985 Oct;14(4):576-82.
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Light and electron microscopic observations in atherosclerotic rabbits following experimental transluminal angioplasty.实验性经腔血管成形术后动脉粥样硬化兔的光镜和电镜观察
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引用本文的文献

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Organized intra-atrial thrombus in growing premature infant.生长中的早产儿心房内有组织血栓形成。
Images Paediatr Cardiol. 2009 Jul;11(3):1-4.
2
Complications of umbilical artery catheterization in a model of extreme prematurity.极早产儿脐带血管置管并发症模型。
J Perinatol. 2009 Oct;29(10):685-92. doi: 10.1038/jp.2009.73. Epub 2009 Jun 25.
3
Radial artery cannulation: a comparison of 15.2- and 4.45-cm catheters.桡动脉置管:15.2厘米和4.45厘米导管的比较
J Clin Monit. 1992 Jul;8(3):193-7. doi: 10.1007/BF01616775.