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肺炎球菌肺炎后脾脏腹腔内自体移植的存活率提高。

Improved survival rate for intraperitoneal autotransplantation of the spleen following pneumococcal pneumonia.

作者信息

Livingston C D, Levine B A, Sirinek K R

出版信息

Surg Gynecol Obstet. 1983 Jun;156(6):761-6.

PMID:6857455
Abstract

One hundred and ten Sprague-Dawley rats were randomly assigned to one of four treatment groups: 1, sham control; 2, splenectomy; 3, splenectomy and implantation of diced splenic tissue among the leaves of the small intestinal mesentery, and 4, splenectomy and intraportal injection of emulsified splenic tissue. Twelve weeks postoperatively, all of the rats were challenged with Type III Streptococcus pneumoniae by transtracheal injection. Rats with intraportal splenic autotransplants had an early mortality significantly higher than that of asplenic rats. Rats with small intestinal mesentery implants had a mortality not significantly different from that of sham control rats but significantly lower than that of rats that underwent splenectomy. Thus, intraperitoneal splenic autotransplantation provides a protective effect against postsplenectomy pulmonary sepsis and serves as a method for preservation of splenic function.

摘要

110只Sprague-Dawley大鼠被随机分为四个治疗组之一:1. 假手术对照组;2. 脾切除术组;3. 脾切除术并将切碎的脾组织植入小肠系膜叶间组;4. 脾切除术并经门静脉注射乳化脾组织组。术后12周,所有大鼠经气管注射III型肺炎链球菌进行攻击。经门静脉自体脾移植的大鼠早期死亡率显著高于无脾大鼠。小肠系膜植入物的大鼠死亡率与假手术对照组大鼠无显著差异,但显著低于接受脾切除术的大鼠。因此,腹腔内自体脾移植对脾切除术后肺部败血症具有保护作用,并可作为一种保留脾功能的方法。

相似文献

1
Improved survival rate for intraperitoneal autotransplantation of the spleen following pneumococcal pneumonia.肺炎球菌肺炎后脾脏腹腔内自体移植的存活率提高。
Surg Gynecol Obstet. 1983 Jun;156(6):761-6.
2
Intraperitoneal splenic implants do not alter clearance of pneumococcal bacteremia.腹腔内脾脏植入物不会改变肺炎球菌菌血症的清除率。
Am Surg. 1985 May;51(5):269-71.
3
Comparison of omental splenic autotransplant to partial splenectomy. Protective effect against septic death.大网膜脾自体移植与部分脾切除术的比较。对感染性死亡的保护作用。
Am Surg. 1987 Dec;53(12):702-5.
4
[Immunologic function against infection in splenic autotransplanted mice].[脾自体移植小鼠抗感染的免疫功能]
Nihon Geka Gakkai Zasshi. 1991 May;92(5):567-76.
5
Heterotopic splenic autotransplantation in prevention of overwhelming postsplenectomy infection.异位脾自体移植预防脾切除术后暴发性感染
J Pediatr Surg. 1979 Jun;14(3):337-42.
6
Protection against pneumococcal sepsis in splenectomized rats by implantation of splenic tissue into an omental pouch.通过将脾组织植入网膜囊对脾切除大鼠进行肺炎球菌败血症的防护。
Surgery. 1982 Jun;91(6):638-41.
7
[Splenic autotransplantation restores the immune function of the spleen].脾自体移植可恢复脾脏的免疫功能。
Nihon Geka Gakkai Zasshi. 1994 Sep;95(9):689-98.
8
Optimal site and amount of splenic tissue for autotransplantation.自体移植的脾脏组织的最佳部位和数量。
J Surg Res. 1992 Aug;53(2):109-16. doi: 10.1016/0022-4804(92)90021-q.
9
Intraportal and intrahepatic splenic autotransplantation.门静脉内和肝内自体脾移植
Surgery. 1981 Sep;90(3):535-40.
10
Relative merits of partial splenectomy, splenic reimplantation, and immunization in preventing postsplenectomy infection.脾部分切除术、脾再植术及免疫在预防脾切除术后感染中的相对优势。
Surgery. 1979 Oct;86(4):561-9.

引用本文的文献

1
Autologous splenic transplantation for splenic trauma.脾外伤的自体脾移植
Ann Surg. 1994 Mar;219(3):225-35. doi: 10.1097/00000658-199403000-00002.
2
Methods of splenic preservation and their effect on clearance of pneumococcal bacteremia.脾脏保存方法及其对肺炎球菌菌血症清除的影响。
Ann Surg. 1985 Nov;202(5):595-9. doi: 10.1097/00000658-198511000-00010.
3
Heterotopic autologous splenic grafts in rat. Morphological studies.大鼠异位自体脾移植。形态学研究。
Virchows Arch A Pathol Anat Histopathol. 1986;409(5):693-704. doi: 10.1007/BF00713434.
4
[Pneumococcus-induced septicemia in normal and splenectomized rabbits].[正常及脾切除兔肺炎球菌所致败血症]
Langenbecks Arch Chir. 1992;377(6):341-4. doi: 10.1007/BF00574771.