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[角膜中的代谢物变化与溃疡形成。不同严重程度酸烧伤的实验(作者译)]

[Metabolite changes and ulcer formation in the cornea. Experiments with acid burns of varying severity (author's transl)].

作者信息

Turss R, Klemm B

出版信息

Klin Monbl Augenheilkd. 1978 Aug;173(2):214-20.

PMID:703145
Abstract

Acid burns with 0,25 n H2SO4 constantly cause mild corneal opacities. Burns with 2 n acid are too severe to be investigated for more than one week. Lactate and pyruvate levels drop in the aqueous and, less pronounced, in the cornea. A very similar decrease of glucose levels in aqueous and cornea can be found depending in its degree on the acid concentration used. In milder burns the levels return to normal within 2--3 weeks. The results can be explained by changes of the blood-aqueous barrier and of the rate of aqueous flow. It seems very unlikely that the metabolite changes cause the formation of corneal ulcers, as severe ulcerations can be found along with almost normal metabolite levels.

摘要

用0.25N硫酸造成的酸烧伤经常会导致轻度角膜混浊。用2N酸造成的烧伤过于严重,无法进行超过一周的研究。房水和角膜中的乳酸和丙酮酸水平下降,角膜中的下降不太明显。根据所用酸的浓度不同,房水和角膜中的葡萄糖水平也会有非常相似的下降。在较轻的烧伤中,这些水平在2至3周内恢复正常。这些结果可以通过血-房水屏障和房水流动速率的变化来解释。代谢物变化导致角膜溃疡形成的可能性似乎非常小,因为在代谢物水平几乎正常的情况下也能发现严重的溃疡。

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