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体外循环中肺动脉灌注改良低钾右旋糖酐液对兔肺保护作用的研究
作者:宋晓春 穆心苇  
单位:南京医科大学附属南京第一医院
关键词: 体外循环 谷胱甘肽 改良低钾右旋糖酐液 肺动脉灌注  
分类号:
出版年·卷·期(页码):2010·38·第六期(589-592)
摘要:

摘要: 目的 建立体外循环(CPB)期间肺动脉灌注动物模型,观察肺动脉灌注添加谷胱甘肽(GSH)的改良低钾右旋糖酐液(LPD液)对体外循环所致肺损伤的保护作用。方法 健康杂种家兔20只,随机分为2组(n=10):对照组(体外循环无肺动脉灌注)和灌注组(体外循环改良LPD液肺动脉灌注)。于CPB不同时点分别抽取血样检测肿瘤坏死因子-a(TNF-a)和动脉血气,计算氧合指数(PO2/FiO2);停CPB后取肺组织测定丙二醛(MDA)和计算肺湿干比(W/D)。结果 随着CPB的进行,灌注组氧合指数(PO2/FiO2)明显高于对照组;而肿瘤坏死因子-a(TNF-a)水平明显低于对照组;停CPB后,灌注组肺组织丙二醛(MDA)和肺组织湿干比(W/D)低于对照组。结论 体外循环(CPB)期间经肺动脉灌注改良低钾右旋糖酐液(LPD液)能减轻体外循环所造成的肺损伤,改善肺功能。

Abstract: Objective To establish the experimental model of pulmonary artery perfusion during cardiopulmonary bypass(CPB) and observe the protective effect of pulmonary artery perfusion with improved low-potassium detran solution(LPD solution) supplemented by glutathione(GSH) on lung injury during cardiopulmonary bypass(CPB). Methods Twenty rabbits were randomly divided into two groups: control group(no pulmonary artery perfusion during CPB)and perfusion group(pulmonary artery perfusion with improved low-potassium detran solution during CPB). Blood samples were drawn at different time points during cardiopulmonary bypass for tumor necrosis factor-a(TNF-a) and blood gas analysis and calculate oxygenation index;Malondialdehyde(MDA) and wet-to-dry ratio(W/D) of lung at the end of CPB were measured and calculated. Results With the CPB, the oxygenation index of perfusion group was higher than that of control group, however the level of tumor necrosis factor-a(TNF-a) was lower;Lung level of malondialdehyde(MDA) and lung wet-to-dry ratio in perfusion group were lower than those in control group at the end of CPB. Conclusion Pulmonary artery perfusion with improved low-potassium detran solution(LPD solution) supplemented by glutathione(GSH) during cardiopulmonary bypass(CPB) can ameliorate lung function and attenuate lung injury caused by CPB.

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