Leung F W, Su K C, Yonei Y, Passaro E, Guth P H
Sepulveda Veterans Administration Medical Center, California 91343.
Dig Dis Sci. 1993 Jul;38(7):1220-3. doi: 10.1007/BF01296070.
In rat colon damaged by 10% acetic acid and by dinitrochlorobenzene, we test the following hypotheses: (1) mucosal hemodynamic changes are significantly different at the ulcer base, the ulcer margin, and the inflamed non-ulcer-bearing mucosa; and (2) these mucosal hemodynamic changes also vary with time after induction of the colonic injury. Mucosal hemodynamic changes were documented by reflectance spectrophotometry, and variations in gross mucosal morphology were confirmed by hematoxylin and eosin histologic sections. Results revealed that in the acute stage, the ulcer base, which was covered by necrotic debris, showed ischemia without congestion. The ulcer margin at the edge of the ulcer base showed ischemia with congestion. The nonulcerated mucosa, which appeared erythematous, showed increased perfusion. In the convalescent stage, all the altered perfusion patterns returned to normal. These observations offer plausible explanations for the variability in colonic perfusion observed in experimentally damaged colons.
在被10%乙酸和二硝基氯苯损伤的大鼠结肠中,我们检验以下假设:(1)溃疡底部、溃疡边缘和未发生溃疡的炎症黏膜处的黏膜血流动力学变化存在显著差异;(2)这些黏膜血流动力学变化也会随结肠损伤诱导后的时间而变化。通过反射分光光度法记录黏膜血流动力学变化,并通过苏木精和伊红组织切片证实大体黏膜形态的变化。结果显示,在急性期,被坏死碎片覆盖的溃疡底部表现为缺血而无充血。溃疡底部边缘的溃疡边缘表现为缺血伴充血。出现红斑的未溃疡黏膜表现为灌注增加。在恢复期,所有改变的灌注模式均恢复正常。这些观察结果为实验性损伤结肠中观察到的结肠灌注变异性提供了合理的解释。