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支气管肺泡灌洗后兔肺组织的病理观察
引用本文:黄敏,周静,吕培中,王昊,邹春英,张倩,周苏明.支气管肺泡灌洗后兔肺组织的病理观察[J].江苏医药,2012,38(2):149-150,249.
作者姓名:黄敏  周静  吕培中  王昊  邹春英  张倩  周苏明
作者单位:黄敏 (南京医科大学第一附属医院老年医学科, 江苏省,210029) ; 周静 (南京医科大学第一附属医院老年医学科, 江苏省,210029) ; 吕培中 (南京医科大学第一附属医院老年医学科, 江苏省,210029) ; 王昊 (南京医科大学第一附属医院老年医学科, 江苏省,210029) ; 邹春英 (南京医科大学第一附属医院老年医学科, 江苏省,210029) ; 张倩 (南京医科大学第一附属医院老年医学科, 江苏省,210029) ; 周苏明 (南京医科大学第一附属医院老年医学科, 江苏省,210029) ;
摘    要:目的观察支气管肺泡灌洗后兔肺组织病理变化。方法将实验用新西兰兔31只予以气管插管并分为生理盐水10ml(A组,n=11)、亚胺培南(50mg/10ml)(B组,n=8)和氟康唑(800μg/10ml)(C组,n=12)3组。灌洗2h后处死动物,采用常规石蜡组织切片和HE染色法对兔肺组织进行病理观察。结果肺细支气管腔和部分肺泡腔内可见淡红色液体,并由此导致局限性肺气肿和/或肺不张。肺细支气管管腔内和管壁积有散在的中性粒细胞;支气管黏膜上皮坏死、剥脱。3组上述病变组间无明显差异。结论与生理盐水灌洗比较,亚胺培南或氟康唑局部肺泡灌洗并未增加局部病理损伤。

关 键 词:支气管肺泡灌洗  亚胺培南  氟康唑

Histopathological observation of rabbits lung tissue after bronchoalveolar lavage
Institution:HUANG Min,ZHOU Jing,LV Peizhong,et al.Department of Geriatrics,First Affiliated Hospital,Nanjing Medical University,Nanjing 210029,CHINA
Abstract:Objective To observe the histopathological changes of lung tissue in rabbit after bronchoalveolar lavage(BAL).Methods After tracheal intubation,31 New Zealand rabbits were randomly divided into 3 groups of A(normal saline 10 ml,11 rabbits),B(imipenem 50 mg/10 ml,8 rabbits) and C(fluconazol 800 μg/10 ml,12 rabbits).The rabbits were sacrificed at 2 h after BAL and histopathological changes of lung tissue were observed using paraffin-tissue sections and HE staining.Results Pink liquid was observed in both bronchiole and some alveolar spaces,which could lead to local pulmonary emphysema and/or pulmonary atelectasis.Sporadic neutrophile granulocytes were seen in bronchiole space and bronchus wall.The bronchial epithelium was necrostic and desquamated.The pathological changes mentioned above were not significantly different among 3 groups.Conclusion Compared with normal saline BAL,BAL with imipenem or fluconazol does not enhance the pathological damages in lung tissues of rabbits.
Keywords:Bronchoalveolar lavage  Imipenem  Fluconazol
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