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入肝血流阻断和全肝血流阻断对肝组织氧压影响
引用本文:王成友,倪勇,何海萍.入肝血流阻断和全肝血流阻断对肝组织氧压影响[J].中华肝胆外科杂志,2002,8(11):678-679.
作者姓名:王成友  倪勇  何海萍
作者单位:518035,深圳市,深圳市第二人民医院肝胆外科
基金项目:广东省医药科技基金及深圳市科技局资助项目(A19985 5 0,2 0 0 0 0 40 31)
摘    要:目的 研究兔常温下入肝血流阻断(portal triad clamp,PTC)及全肝血流阻断(total hepatic vascular exclusion,THVE)对肝组织氧压(tissue oxygen pressure,Ptio2)的影响。方法 24只兔均分二组即PTC和THVE组。分别测定二组缺血前、缺血30min及再灌注30min后肝Ptio2值及血清丙氨酸氨基转氨酶(ALT)值变化。结果 PTC和THVE组均表现为肝Ptio2下降,但THVE较PTC组肝Ptio2值下降更显著(P<0.01)、血清ALT值也明显升高(P<0.05)。结论 PTC组较THVE组对肝缺血的耐受性增加。

关 键 词:再灌流损伤  肝损伤  氧压  肝血流阻断  全肝血流阻断
修稿时间:2001年8月13日

Changes of hepatic tissue Ptio2 in ischemia-reperfusion injury induced by PTC and THVE
WANG Chengyou,NI Yong,HE Haiping.Changes of hepatic tissue Ptio2 in ischemia-reperfusion injury induced by PTC and THVE[J].Chinese Journal of Hepatobiliary Surgery,2002,8(11):678-679.
Authors:WANG Chengyou  NI Yong  HE Haiping
Institution:WANG Chengyou,NI Yong,HE Haiping. Department of Hepatobiliary Surgery,the Second People's Hospital of Shenzhen City,Shenzhen 518035,P. R. China
Abstract:ObjectiveTo investigate changes of rabbit hepatic tissue Ptio 2 in ischemia-reperfusion injury induced by portal triad clamping (PTC) and total hepatic vascular exclusion (THVE). MethodsTwenty-four rabbits were divided into 2 groups: PTC group and THVE group. During liver ischemia and reperfusion, hepatic Ptio 2 and serum ALT were monitored. ResultsHepatic Ptio 2 decreased and serum ALT increased during hepatic ischemia. The value of Ptio 2 was markedly higher but that of serum ALT lower in PTC group than in THVE group (P<0.01 and 0.05). ConclusionsThe liver in PTC group can tolerate ischemia longer.
Keywords:Reperfusion injury  Liver  Injury  Oxygen pressure
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