Choi M, Ehrlich H P
Wound Healing Laboratory, Shriners Burns Institute, Massachusetts General Hospital, Harvard Medical School, Boston 02142.
Am J Pathol. 1993 Feb;142(2):519-28.
Thermal energy causes an immediate, irreversible injury at the burn site, followed by a delayed, reversible tissue loss in the area surrounding the burn site due to progressive ischemia. We investigated the role of lipid peroxidation in the pathogenesis of progressive ischemia in a rat burn model. The burn model consisted of a row of four 10 x 20 mm burns separated by three unburned 5 x 20 mm skin bridges (interspaces). The interspaces became ischemic and necrotic by 24 hours, producing a single wound with the merger of the burn sites. U75412E, a lipid peroxidation inhibitor, preserved vascular patency, restored blood flow, prevented a rise in tissue conjugated dienes, and maintained tissue viability in the interspaces. Four separate burn wounds healed between three viable strips of hair-bearing interspaces. The treatment was effective, when given systemically during the period between 2 hours before and 1 hour after the burn. U75412E prevented progressive burn ischemia and the expansion of tissue loss.
热能在烧伤部位造成立即、不可逆的损伤,随后由于进行性缺血,在烧伤部位周围区域出现延迟、可逆的组织损失。我们在大鼠烧伤模型中研究了脂质过氧化在进行性缺血发病机制中的作用。烧伤模型由一排四个10×20毫米的烧伤组成,中间由三个未烧伤的5×20毫米皮肤桥(间隙)隔开。间隙在24小时时变得缺血和坏死,烧伤部位合并形成单个伤口。脂质过氧化抑制剂U75412E可保持血管通畅、恢复血流、防止组织共轭二烯增加,并维持间隙组织的活力。四个单独的烧伤创面在三条有毛间隙的存活条带之间愈合。在烧伤前2小时至烧伤后1小时期间全身给药时,该治疗有效。U75412E可预防进行性烧伤缺血和组织损失的扩大。