Dryka T, Radwańska-Korzeniowska U, Jesipowicz M, Hermanowicz-Dryka T, Bacher H
I Katedry Chirurgii, I Kliniki Chirurgii Ogólnej i Transplantacyjnej Akademii Medycznej w Lublinie.
Wiad Lek. 1997;50 Suppl 1 Pt 2:89-95.
The aim of this study was to present whether the heparin has on influence on course of experimental acute pancreatitis (AP) and some organ complications. The research referred to histological changes in liver, lungs and kidneys. The study was conducted on 69 rats divided into 5 groups: I--operated, without induction AP, II--control, induction of AP without treatment, III--induction of AP and immediate administration of heparin, IV--induction of AP and administration of heparin 3 hours after, V--induction of AP and administration of heparin 6 hours after. AP was induced by administration 5% sodium taurocholate. In all groups the animals were anesthetised after the period of 3, 6 and 12 hours from the induction of AP respectively. The specimens of mentioned organs were formalinized and stained with hematoxylin/eosin, and in addition specimens of the liver with p.a.S, Sudan IV and Brachets methods. In group I we observed pulmonary oedema after 6 and 12 hours but kidneys and liver were unchanged. In group II pathological changes were most evident in lungs, while we observed on acute passive hyperaemia, pulmonary emphysema and single coagulative thrombosis in vessels. In the liver number of lining cells was increased and minor or major droplets of lipids in hepatocytes were present. Using Brachets method we revealed regular staining of hepatocytes, and p.a.S. method regular staining of their cytoplasm. In group III examined organs do not show any significant differences as compared with group II, except for lungs where the coagulative thrombosis was not present. In groups IV and V changes were similar to those described in group II. This study showed decreased inflammatory and thrombotic process in lungs in experimental AP in rats after heparin treatment.
本研究的目的是探讨肝素对实验性急性胰腺炎(AP)病程及某些器官并发症是否有影响。研究涉及肝脏、肺和肾脏的组织学变化。该研究以69只大鼠为对象,分为5组:I组——手术组,未诱导AP;II组——对照组,诱导AP但未治疗;III组——诱导AP并立即给予肝素;IV组——诱导AP并在3小时后给予肝素;V组——诱导AP并在6小时后给予肝素。AP通过注射5%牛磺胆酸钠诱导。在所有组中,分别在诱导AP后的3小时、6小时和12小时对动物进行麻醉。将上述器官的标本用福尔马林固定,并用苏木精/伊红染色,此外,肝脏标本还用过碘酸雪夫氏反应(p.a.S)、苏丹IV和布拉凯(Brachets)方法染色。在I组中,6小时和12小时后观察到肺水肿,但肾脏和肝脏无变化。在II组中,肺部的病理变化最为明显,观察到急性被动性充血、肺气肿和血管内单个凝固性血栓形成。肝脏中衬里细胞数量增加,肝细胞内存在少量或大量脂质滴。用布拉凯方法显示肝细胞染色正常,用过碘酸雪夫氏反应方法显示其细胞质染色正常。与II组相比,III组检查的器官未显示任何显著差异,除了肺部不存在凝固性血栓形成。IV组和V组的变化与II组所述相似。本研究表明,肝素治疗后大鼠实验性AP肺部的炎症和血栓形成过程减轻。