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[关于在机器再循环尝试中用人血灌注猪肝的功能能力的研究。实验设计、吲哚菁绿、半乳糖、胆红素和氨的清除、尿素的合成、胆汁分泌]

[Studies on the functional ability of swine liver perfused with human blood in machine recirculation attempt. Experiment design, elimination of indocyanine green, galactose, bilirubin and ammonia, synthesis of urea, bile secretion].

作者信息

Zipprich V B, Nilius R, Baust G, Bunge H J, Pauer H D

出版信息

Z Gesamte Inn Med. 1976 Jun 1;31(11):364-8.

PMID:960861
Abstract

In 11 machine experiments of recirculation the abilities of survival and functioning of livers of dwarf pigs perfused with human preserved blood were tested with the help of the eliminations of indocyanine green, galactose, bilirubin and ammonia from a closed circulation. Further urea-nitrogen were measured as indicator of the urea synthesis and bile secretion. The perfusion of the animal livers was carried out in 9 cases only through the portal vein. The values of the blood flow were between 0.4 and 1.0ml pro g liver tissue and minute in portal pressure values about 15 cm water column. Two recirculations were carried out with additional flow through the hepatic artery with about 1/5 of the whole blood flow. The results of the experiments described prove a pretty good functional performance of the perfused with human blood livers of dwarf pigs during several hours. The different animal livers, however, showed at the beginning as well as during the further course of the perfusion clear differences concerning their functional capacity. Decrease of the blood flow values below 0.5 ml pro g liver tissue lead to functional loss. The additional flow through the hepatic artery yielded no better results, compared with the only perfusion of the animal liver through the portal vein.

摘要

在11次再循环的机器实验中,借助于从封闭循环中消除吲哚菁绿、半乳糖、胆红素和氨,测试了用保存的人血灌注的矮小猪肝脏的存活和功能能力。此外,测量尿素氮作为尿素合成和胆汁分泌的指标。仅在9例中通过门静脉对动物肝脏进行灌注。血流值在每克肝组织0.4至1.0毫升之间,门静脉压力值约为15厘米水柱。进行了两次再循环,通过肝动脉的额外血流量约为全血流量的1/5。所述实验结果证明,用矮小猪的人血灌注的肝脏在数小时内功能表现相当良好。然而,不同的动物肝脏在灌注开始时以及灌注过程中,其功能能力存在明显差异。血流值降至每克肝组织0.5毫升以下会导致功能丧失。与仅通过门静脉对动物肝脏进行灌注相比,通过肝动脉的额外血流并未产生更好的结果。

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