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[激光血管内治疗在急性胰腺炎综合治疗中的应用]

[Endovascular therapy with laser light in the combined treatment of acute pancreatitis].

作者信息

Gushcha A L, Tarasenko S V

出版信息

Khirurgiia (Mosk). 1993 Jan(1):43-6.

PMID:8336452
Abstract

Studies conducted in experiments (132 animals) and in the clinic (109 patients) revealed a close relationship between the severity of pancreatogenous endotoxicosis and red cell membrane hyperlipoperoxidation and spontaneous red cell hemolysis, which allows three degrees of blood red cell lipoperoxidation to be distinguished in the period of acute endotoxemia: mild, moderate, and severe. Inclusion of blood laser irradiation into the management of acute pancreatogenous toxemia in moderate and severe degrees of blood red cell hyperlipoperoxidation reduces authentically the peroxide damage of the red cell membranes and the marked character of hemic hypoxia. The best effect was produced with the use of LG-75-1 laser beam in an elaborated regimen in severe red cell lipoperoxidation. The content of secondary lipoperoxidation products reduces in this case by 28.5% on the average in significant correlation with normalization of some clinical and laboratory parameters.

摘要

在实验(132只动物)和临床(109例患者)中进行的研究揭示了胰腺源性内毒素血症的严重程度与红细胞膜过氧化脂质增多及自发性红细胞溶血之间的密切关系,这使得在急性内毒素血症期间可区分出三个程度的血液红细胞脂质过氧化:轻度、中度和重度。在血液红细胞过氧化脂质增多的中度和重度急性胰腺源性毒血症的治疗中加入血液激光照射,确实能降低红细胞膜的过氧化损伤以及血液性缺氧的显著程度。在严重红细胞脂质过氧化的精心设计方案中使用LG - 75 - 1激光束产生了最佳效果。在这种情况下,继发性脂质过氧化产物的含量平均降低了28.5%,与一些临床和实验室参数的正常化具有显著相关性。

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