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脊髓横断后脊髓空洞形成的机制。

The mechanism of spinal cord cavitation following spinal cord transection.

作者信息

chang L W

出版信息

J Neurosurg. 1977 Feb;46(2):197-209. doi: 10.3171/jns.1977.46.2.0197.

Abstract

Transection of a spinal cord is followed by massive accumulation of lysosomes and release of lysosomal hydrolases within both the rostral and the caudal spinal cord stumps. The lysosomal activity begins at 3 hours after cord transection, maintains its peak for 3 to 7 days, and declines at 14 days after transection. The process if associated with autolysis of the cord stumps and subsequent cavitation. Lysosomal accumulation is greatly diminished, and, paradoxically, superior wound healting is the result at the stumps of a 5-mm segment of isolated spinal cord produced by double cord transection.

摘要

脊髓横断后,在脊髓头端和尾端残端内会出现溶酶体大量聚集以及溶酶体水解酶释放的现象。溶酶体活性在脊髓横断后3小时开始,在3至7天达到峰值,并在横断后14天下降。该过程与脊髓残端的自溶及随后的空洞形成有关。溶酶体的聚集大大减少,而且矛盾的是,双脊髓横断产生的5毫米孤立脊髓节段残端的伤口愈合反而更好。

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