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[异种脾灌注液在治疗化脓性败血症性疾病中的应用]

[The use of xenogeneic splenic perfusates for treating suppurative-septic diseases].

作者信息

Makarov A A, Tsypin A B, Vitiazev G A, Dolina O A, Polonskiĭ A Iu, Suskova V S, Prokhorov V Ia, Manuĭlov B M

出版信息

Khirurgiia (Mosk). 1993 Nov(11):10-5.

PMID:8145457
Abstract

It was shown in experiments on a model of fatal staphylococcal sepsis in 200 mice and 15 dogs that the perfusate of a pig's spleen obtained by perfusion of the isolated organ with a dextran solution (rheopolyglucin, polyglucin) is capable of preventing the animals' death. Intravenous infusion of 400-500 ml of a xenospleen perfusate at an interval of 1-3 days, which was included in the complex of postoperative treatment of 45 patients with destructive diseases of the abdominal organs complicated by peritonitis and sepsis, contributed to reduction of lethality and the terms of recovery. It is shown that the main effect, besides detoxification, is based on immunomodulation at the cost of biologically active substances produced by the cells of a xenospleen and contained in the perfusate. The best results were produced with the use of the perfusate of a xenospleen in the early periods after radical operation and thorough cleansing of the source of the infection.

摘要

在对200只小鼠和15只狗进行的致命性葡萄球菌败血症模型实验中发现,用葡聚糖溶液(低分子右旋糖酐、中分子右旋糖酐)灌注分离出的猪脾脏所获得的灌注液能够防止动物死亡。对45例患有腹部器官破坏性疾病并发腹膜炎和败血症的患者进行术后综合治疗时,每隔1 - 3天静脉输注400 - 500毫升异种脾灌注液,有助于降低死亡率并缩短康复时间。结果表明,除解毒作用外,其主要作用基于免疫调节,这是以异种脾细胞产生并存在于灌注液中的生物活性物质为代价的。在根治性手术后早期使用异种脾灌注液并彻底清除感染源,可取得最佳效果。

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