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肢体缺血-再灌注致肺损伤及甘露醇对其的保护作用
引用本文:陈建常,王乐农,史振满,卢开柏. 肢体缺血-再灌注致肺损伤及甘露醇对其的保护作用[J]. 中国危重病急救医学, 2000, 12(6): 359-361
作者姓名:陈建常  王乐农  史振满  卢开柏
作者单位:兰州军区乌鲁木齐总医院全军骨科中心,新疆,乌鲁木齐,830000
基金项目:兰州军区科研基金!资助项目 ( XH 960 12 )
摘    要:目的:了解甘露醇对肢体缺血-再灌注所致肺损伤的保护作用。方法:110只Wistar大鼠随机分成正常对照组(Ⅰ组)、缺血3粘时再灌注组(Ⅱ组)和用甘露醇组(Ⅲ组)。Ⅱ与Ⅲ组于缺血3小时,再灌注1、2、3和24小时取材,进行光镜下对比观察和组织学评估。结果:肢体缺血和再灌注后,动物肺泡隔增厚、水肿,毛细血管扩张、充血,大量分叶核粒细胞浸润、贴壁,部分肺不张;用甘露醇组的病理改变明显轻于未用甘露醇组。

关 键 词:甘露醇 缺血-再灌注 肢体 肺损伤
修稿时间:1999-08-30

Protective effect of mannitol on lung injury after lower limb ischemic-reperfusion
CHEN Jianchang,WANG Lenong,SHI Zhenman,et al.. Protective effect of mannitol on lung injury after lower limb ischemic-reperfusion[J]. Chinese critical care medicine, 2000, 12(6): 359-361
Authors:CHEN Jianchang  WANG Lenong  SHI Zhenman  et al.
Affiliation:CHEN Jianchang,WANG Lenong,SHI Zhenman,et al.Department of Orthopaedics,Ulumqi General Hospital of Lanzhou Command,Ulumqi 830000
Abstract:Objective:To observe the protective effect of mannitol on lung injury after lower limb ischemicreperfusion.Methods:110 rats were divided into control group,3hour ischemiareperfusion group and 3hour ischemiareperfusion group treated with mannitol.The histological evaluation of lung tissue was performed at 3hour ischemia,1,2,3 and 24 hours after reperfusion.Results:It was found that pulmonary edema,microvascular congestion,infiltration of large amount of polymorphonuclear neutrophil (PMN) and partial pulmonary collapse were found in experimental group at 3hour ischemia,1,2,3 and 24 hours after reperfusion.However,treatment with mannitol could markedly attenuate pulmonary injury compared with animals without treatment.Conclusions:These data suggest that mannitol can alleviate the pulmonary injury after lower limb ischemicreperfusion.
Keywords:mannitol  limb ischemicreperfusion  pulmonary injury
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