目的探討梗阻性黃疸時血漿內(nèi)皮素(ET)含量與胃粘膜病變的關(guān)系。方法本實驗以犬為實驗對象,根據(jù)處理方式的不同設(shè)實驗組與對照組,實驗組7只犬行膽總管結(jié)扎術(shù),對照組3只犬行假手術(shù),用特異性放射免疫法檢測兩組術(shù)前及術(shù)后1、4及7 d血漿ET含量,并于術(shù)后7 d取胃粘膜行光鏡、電鏡觀察。結(jié)果實驗組術(shù)后ET含量持續(xù)升高,明顯高于對照組,光鏡下見毛細(xì)血管擴(kuò)張,胃粘膜充血水腫,電鏡下見毛細(xì)血管擴(kuò)張、瘀血,粘液細(xì)胞間質(zhì)水腫。結(jié)論梗阻性黃疸時,血漿ET含量增高可能是梗阻性黃疸時胃粘膜病變的發(fā)病機(jī)理之一。
引用本文: 張東偉王國卿樸大勛. 梗阻性黃疸血漿內(nèi)皮素含量與胃粘膜病變的關(guān)系. 中國普外基礎(chǔ)與臨床雜志, 2003, 10(5): 463-465. doi: 復(fù)制
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- 1. 孟憲民,李哲浩,魏國玉. 梗阻性黃疸并發(fā)急性胃病變的機(jī)理 [J]. 普外臨床, 1991; 6(1)∶38.
- 2. Wallance JL,Cirino G,De Nucci G, et al.Endothelin has potent ulcerogenic and vasoconstrictor actions in the stomach [J].Am J physiol, 1989; 256(4 Pt 1)∶G661.
- 3. AlexanderWilliams J,Wolverson RL.Pathogenesis and pathophysiology of gastric ulcer [J].Clin Gastroenterol, 1984; 13(2)∶601.
- 4. Deitch EA, Sittig K, Li M, et al. Obstructive jaundice promotes bacterial translocation from the gut [J]. Am J Surg, 1990; 159(1)∶79.
- 5. Yanagisawa M, Kurihara H, Kimura S, et al. A novel potent vasoconstricitor peptide produced by vascular endothelial cells [J]. Nature, 1988; 332(6163)∶411.
- 6. 謝鵬雁,黃莚庭. 胃十二指腸潰瘍病基礎(chǔ)研究的新進(jìn)展 [J]. 中國普外基礎(chǔ)與臨床雜志, 1998; 15(3)∶165.
- 7. 黎介壽. 應(yīng)激性潰瘍 [J]. 中國實用外科雜志, 1998; 18(1)∶45.
- 8. 孫紹金, 黃裕新, 許財紱. 內(nèi)皮素對胃腸損傷作用機(jī)制的研究進(jìn)展 [J].新消化病學(xué)雜志, 1996; 4(4)∶224.
- 9. Battal NM, Hata Y, Ito O,et al. Reduction of burninduced gastric mucosal injury by an endothelin receptor antagonist in rats [J].Burns, 1997; 23(4)∶295.
- 10. Michida T, Kawano S, Masuda E,et al. Role of endothelin 1 in hemorrhagic shockinduced gastric mucosal injury in rats [J].Gastroenterology, 1994; 106(4)∶988.
- 11. Fukumura D, Jurose I, Miuras, et al.Role of plateletactivating factor (RAF) on endothelin induced microvascular disturbance in rat stomach [J]. Intestinal Disorder, 1991; 100(5)∶211.
- 12. Simonson MS, Dunn MJ. Endothelins: a family of regulatory peptides state of the art lecture [J]. Hypertension, 1991; 17(7)∶856.
- 13. 馮祖亮, 王平, 馮新為. 梗阻性黃疸患者的內(nèi)毒素血癥及其對機(jī)體的影響 [J].中國普通外科雜志, 1995; 10(2)∶76.
- 14. Kanse SM , Takahashi K,Lam HC, et al.Cytokine stimulated endothelin release from endothelial cells [J].Life Sci, 1991; 48(14)∶1379.
- 15. 鐘守先. 梗阻性黃疸圍手術(shù)期處理 [J]. 臨床外科雜志, 1996; 4(1)∶3.