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尸僵对离体犬心心肌中红细胞和液体通过的影响。

The effect of rigor mortis on the passage of erythrocytes and fluid through the myocardium of isolated dog hearts.

作者信息

Nevalainen T J, Gavin J B, Seelye R N, Whitehouse S, Donnell M

出版信息

Pathology. 1978 Jul;10(3):227-33. doi: 10.3109/00313027809063505.

Abstract

The effect of normal and artificially induced rigor mortis on the vascular passage of erythrocytes and fluid through isolated dog hearts was studied. Increased rigidity of 6-mm thick transmural sections through the centre of the posterior papillary muscle was used as an indication of rigor. The perfusibility of the myocardium was tested by injecting 10 ml of 1% sodium fluorescein in Hanks solution into the circumflex branch of the left coronary artery. In prerigor hearts (20 minute incubation) fluorescein perfused the myocardium evenly whether or not it was preceded by an injection of 10 ml of heparinized dog blood. Rigor mortis developed in all hearts after 90 minutes incubation or within 20 minutes of perfusing the heart with 50 ml of 5 mM iodoacetate in Hanks solution. Fluorescein injected into hearts in rigor did not enter the posterior papillary muscle and adjacent subendocardium whether or not it was preceded by heparinized blood. Thus the vascular occlusion caused by rigor in the dog heart appears to be so effective that it prevents flow into the subendocardium of small soluble ions such as fluorescein.

摘要

研究了正常和人工诱导的尸僵对红细胞和液体通过离体犬心脏血管通道的影响。通过后乳头肌中心6毫米厚的透壁切片硬度增加来表明尸僵。通过将10毫升含1%荧光素钠的汉克斯溶液注入左冠状动脉回旋支来测试心肌的灌注能力。在生前心脏(孵育20分钟)中,无论是否先注入10毫升肝素化犬血,荧光素都能均匀地灌注心肌。在孵育90分钟后或用50毫升含5毫摩尔碘乙酸的汉克斯溶液灌注心脏20分钟内,所有心脏都出现了尸僵。注入处于尸僵状态心脏的荧光素,无论是否先注入肝素化血液,都不会进入后乳头肌和相邻的心内膜下区域。因此,犬心脏中尸僵引起的血管阻塞似乎非常有效,以至于它阻止了诸如荧光素等小可溶性离子流入心内膜下区域。

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