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[肠道吸附法在机械性黄疸中的实验与临床验证]

[Experimental and clinical validation of using enterosorption in mechanical jaundice].

作者信息

Topuzov E G, Beliakov N A, Malachev M M, Solomennikov A V, Umerov A Kh, Gritsenko I V, Kokaia A A

出版信息

Vestn Khir Im I I Grek. 1995;154(3):100-3.

PMID:8743804
Abstract

Experiments in 119 rats with the model of mechanical jaundice have shown the efficiency of enterosorption with polyphepan. The development of the pathological process was found to improve, lethality of the experimental animals to decrease. Favourable changes of the laboratory indices characteristic of endotoxemia were noted. The mechanism of medical action of enterosorption is realized by means of intensification of transfer of masses of metabolites and toxins through the intestine wall and their excretion through the gastrointestinal tract. One of important mechanisms of the medical action of enterosorption is the stimulation of intestinal peristalsis which is confirmed by data of the dynamics of bioelectrical activity. Enterosorption performed in 60 patients with mechanical jaundice was followed by a more rapid improvement of the general state, decrease of the indices characteristic of endotoxicosis as compared with 60 patients of the control group. The frequency of postoperative complications and lethality were reliably lower.

摘要

对119只机械性黄疸模型大鼠进行的实验表明,使用聚酚磺乙胺进行肠吸附是有效的。发现病理过程的发展得到改善,实验动物的死亡率降低。注意到内毒素血症特征性实验室指标的有利变化。肠吸附的医学作用机制是通过加强代谢产物和毒素通过肠壁的转运及其通过胃肠道的排泄来实现的。肠吸附医学作用的重要机制之一是刺激肠道蠕动,这一点已被生物电活动动力学数据所证实。与60例对照组患者相比,对60例机械性黄疸患者进行肠吸附后,一般状况改善更快,内毒素血症特征性指标降低。术后并发症的发生率和死亡率确实更低。

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