• 1.吉林大學(xué)第三醫(yī)院(中日聯(lián)誼醫(yī)院)基本外科(長春130031);;
  • 2.吉林省梅河口市醫(yī)院普通外科(梅河口135000);

目的探討前列腺素E1(PGE1)對肝臟缺血再灌注損傷的保護(hù)作用。方法制作常溫下大鼠部分肝葉缺血再灌注模型,于缺血前經(jīng)門靜脈給予PGE1,45 min后恢復(fù)血流灌注,并于1 h后取門靜脈血測定血清谷草轉(zhuǎn)氨酶(GOT)、谷丙轉(zhuǎn)氨酶(GPT)、乳酸脫氫酶(LDH)、腫瘤壞死因子α(TNFα)及內(nèi)皮素1(ET1),同時(shí)取缺血肝葉行病理組織學(xué)檢查。結(jié)果缺血再灌注組GOT、GPT、LDH及TNF α和ET1均明顯高于正常對照組,PGE1組則明顯低于缺血再灌注組。PGE1組的肝臟病理組織學(xué)改變明顯輕于缺血再灌注組,并接近正常對照組。結(jié)論P(yáng)GE1對肝缺血再灌注具有保護(hù)作用。

引用本文: 季德剛,劉秉義,鄭澤霖,王偉. 前列腺素E1對大鼠肝臟缺血再灌注損傷的保護(hù)作用. 中國普外基礎(chǔ)與臨床雜志, 2003, 10(1): 36-38. doi: 復(fù)制

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  2. 2. 王志偉,黃宇琦.肝臟缺血再灌注損傷 [J]. 中國普外基礎(chǔ)與臨床雜志, 1998; 5(4)∶253.
  3. 3. 湯禮軍.肝臟缺血再灌注損傷介質(zhì)的研究現(xiàn)狀 [J]. 肝膽外科雜志, 1998; 6(2)∶318.
  4. 4. Ishikawa T, Yamamoto Y, Takeuchi K. Relationship between peri and postoperative plasma concentration of endothelin1 and liver dysfunction in rat liver transplantation [J]. Transplant Proc, 1995; 27(1)∶524.
  5. 5. Natori S, Fujii Y, Kurosawa H, et al. Prostaglandine E1 protects against ischemiareperfusion injury of the liver by inhibition of neutrophil adherence to endothelial cells [J]. Transplantation, 1997; 64(11)∶1514.
  6. 6. 賈因堂,王守義,解中堅(jiān).前列腺素E1對腫瘤壞死因子水平及磷脂酶A2活性的影響 [J]. 中華肝病雜志, 1997; 5(3)∶172.
  7. 7. Xu HS, Rosenlof LK, Rruett TL, et al. Prostaglandin E1 increases survival with extended anhepatic phase during liver transplantation [J]. Ann Surg, 1994; 220(1)∶53.
  8. 8. Greig PD, Woolf GM, Sinclair SB, et al. Treatment of primary liver graft nonfunction with prostaglandin E1 [J]. Transplantation, 1989; 48(3)∶447.