Zipprich V B, Nilius R, Baust G, Bunge H J, Pauer H D, Schlesinger E, Mantel E
Z Gesamte Inn Med. 1976 Jun 1;31(11):369-73.
In the present paper is reported on the behavior of different serochemical parameters in heterologous perfusion of the liver of pigs. The perfusion of the animal livers was carried out with preserved human blood in 11 recirculation experiments (closed machine circulations). In addition to this an empty circulation with human blood without attachment to an animal liver was carried out, whereby otherwise the arrangement of the experiment was the same, in order to take into consideration the effects of the blood traumatisation in the interpretation of the results. The enzymes GOT and LAP proved as sensible indicators of the lesion of the liver cells occurring in the perfusion of the liver of the pigs. The behavior of the mitochondrial GDH as well as of the lysosomal enzymes SP and BETA-GC which scarcely increased during the recirculations in the perfusate blood, however, allows the conclusion that there did not appear a severe lesion of the liver cells (necrobiosis) during several hours of perfusion. A cholestasis did not develop during the perfusions, when one takes as basis the behavior of the enzymes AP, GGTP and AAP indicating cholestasis. Compared with GOT the enzyme GPT showed by far less elevations in the perfusate blood so that with increasing duration of the perfusion the De-Ritis-quotient significantly increased. Increased LDH-activities above all revealed the increasing during perfusion haemolysis and less reliably a lesion of the liver of the pig. The increase of ADA in the perfusate blood proved as nearly exclusively conditioned by haemolysis. Total protein, albumins, immunoglobulins, cholinesterase and thymol turbidity test remained unchanged in the course of the perfusions.
本文报道了猪肝脏异种灌注时不同血清化学参数的变化情况。在11次再循环实验(封闭式机器循环)中,用保存的人血对动物肝脏进行灌注。此外,还进行了一次不连接动物肝脏的人血空循环,实验的其他安排相同,以便在解释结果时考虑血液损伤的影响。酶GOT和LAP被证明是猪肝脏灌注过程中发生肝细胞损伤的敏感指标。线粒体GDH以及溶酶体酶SP和β - GC在灌注液血液再循环过程中几乎没有增加,然而,这可以得出结论,在几个小时的灌注过程中没有出现严重的肝细胞损伤(坏死)。以指示胆汁淤积的酶AP、GGTP和AAP的变化为依据,在灌注过程中没有发生胆汁淤积。与GOT相比,酶GPT在灌注液血液中的升高幅度要小得多,因此随着灌注时间的延长,德 - 里斯比值显著增加。LDH活性的增加首先表明灌注过程中溶血增加,而对猪肝脏损伤的指示作用不太可靠。灌注液血液中ADA的增加几乎完全是由溶血引起的。在灌注过程中,总蛋白、白蛋白、免疫球蛋白、胆碱酯酶和麝香草酚浊度试验均保持不变。