Hou R, Situ P, Goa H
Department of Plastic and Burn Surgery, Zhujiang Hospital, First Military Medical University, Guangzhou.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1994 Jan;10(1):76-8.
We quantified the portal blood endotoxin level as well as the systemic blood endotoxin level after scald in rats. The results show that the portal blood endotoxin level is significantly higher than the systemic blood endotoxin level (P < 0.001) in control group. In scald group the portal blood endotoxin level shows double peaks (increase significantly at second hour, decrease to normal at sixth hour and increase significantly again at twelfth hour), but the systemic blood endotoxin level remained low (P > 0.05). The results indicate that there is some endotoxin in the portal blood in normal condition, but large amount of endotoxin escape into portal blood in normal condition, but large amount of endotoxin escape into portal blood from the intestine in early stage after scald, resulting in enterogenous endotoxemia. The origin of systemic endotoxemia is discussed in the present article.
我们对大鼠烫伤后的门静脉血内毒素水平以及全身血内毒素水平进行了量化。结果显示,在对照组中,门静脉血内毒素水平显著高于全身血内毒素水平(P<0.001)。在烫伤组中,门静脉血内毒素水平呈现双峰(在第二小时显著升高,在第六小时降至正常,在第十二小时再次显著升高),但全身血内毒素水平保持较低(P>0.05)。结果表明,正常情况下门静脉血中存在一定量内毒素,但烫伤早期大量内毒素从肠道逸入门静脉血,导致肠源性内毒素血症。本文讨论了全身内毒素血症的来源。