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肝门去动脉化后的肝血流

Liver blood flow after liver hilus dearterialization.

作者信息

Höckerstedt K, Nieminen J, Scheinin T M

出版信息

Ann Chir Gynaecol. 1978;67(6):224-8.

PMID:742825
Abstract

Changes in liver blood flow immediately after and during one week after a standardized liver hilus dearterialization were studied in a series of 16 dogs. An additional six dogs were sham-operated and used as controls. The liver blood flow was measured using Xe133 injections administered by two methods in every animal: into the liver parenchyma, and into the portal vein. The measurements were taken immediately before, and 15, 30, 60 minutes, and one and seven days after the operation. Xe133 wash out from the liver was found to be reduced 15 minutes after the dearterialization, measured both by liver parenchymal and portal venous injection routes (p less than 0.05). Return to normal took place rapidly thereafter. On the next day some increase in the liver blood flow was observed in both dearterialized and sham-operated dogs. The aleration was significant in the dearterialized animals as measured by portal vein injections, and in the sham-operated dogs as measured by liver parenchymal injections (p less than 0.05). On the seventh day normal Xe133 liver wash out was recorded in all animals. It can be concluded that after liver hilus dearterialization in the dog liver blood flow was decreased for a very short period of time only. Increased flow was noted as early as the next day, not only in the dearterialized, but also in the sham-operated animals. The use of adequate controls is important.

摘要

在一系列16只狗身上研究了标准化肝门去动脉化术后即刻及术后一周内肝脏血流的变化。另外6只狗接受假手术并用作对照。通过两种方法给每只动物注射Xe133来测量肝脏血流:注入肝实质和注入门静脉。在手术前、术后15、30、60分钟以及术后1天和7天进行测量。发现去动脉化后15分钟,通过肝实质和门静脉注射途径测量,Xe133从肝脏的清除均减少(p<0.05)。此后迅速恢复正常。第二天,去动脉化和假手术的狗肝脏血流均有一些增加。通过门静脉注射测量,去动脉化动物的这种变化显著;通过肝实质注射测量,假手术狗的这种变化显著(p<0.05)。在第7天,所有动物的Xe133肝脏清除均记录为正常。可以得出结论,狗肝门去动脉化后,肝脏血流仅在非常短的时间内减少。早在第二天就注意到血流增加,不仅在去动脉化动物中,而且在假手术动物中也是如此。使用适当的对照很重要。

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