95%肝切除与药物诱导大鼠急性肝衰竭模型的比较
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陈钟

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Comparision of rat acute hepatic failure model induced by 95% hepatectomy and drug injection
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    摘要:

    目的:探讨一种理想的大鼠急性肝衰竭(AHF)模型建立方法。 方法:SD大鼠36只随机分为3组:(1)改良手术诱导组,切除约95%肝脏组织,术中经中叶肝静脉注入5%葡萄糖氯化钠溶液10ml/kg体重;(2)传统手术诱导组,术中不行中叶肝静脉穿刺注射5%葡萄糖氯化钠溶液,其余手术方法同改良手术组;(3)药物诱导组,给予D-氨基半乳糖(D-gal)1.2g/kg腹腔注射。观察手术死亡率、建模后24h大鼠存活率、血谷丙转氨酶(ALT)、血氨(NH3)、总胆红素(TB)和血糖(BG)。 结果:传统手术诱导组手术死亡率高于改良手术组死亡率(33.3%∶〖KG-*2〗〖KG(*7〗0%),改良手术诱导组、传统手术诱导组、药物诱导组大鼠建模成功后24h存活率分别为0%,0%,25%,改良手术诱导组ALT和NH3水平显著高于药物诱导组(P<0.05),TB和BG水平低于药物诱导组,但差异无显著性(P>0.05)。结论:通过改进的95%肝切除术可建立较理想的大鼠AHF模型,术中经中叶肝静脉注入5%葡萄糖氯化钠溶液可减少手术死亡率。

    Abstract:

    Abstract:Objective:To explore an ideal method of establishing a rat acute hepatic failure (AHF) model. Methods:36 Sprague-Dawley rats were randomly divided into three groups. In modified operation induction group, rat AHF model was established by modified 95% hepatectomy. In the operation, 10ml 5% glucose saline solution per kilogram of body weight was injected into the median lobe hepatic vein of the rat. In traditional operation induction group, 95% liver was resected, but no glucose saline solution was injected. In drug induction group, AHF model was established by injecting 1.2g D-gal per kilogram of body weight intraperitoneally. Operative mortality and 24h survival rate after establishment of models were observed. ALT, total bilirubin (TB), NH3 and blood sugar (BG) were monitored. Results:The operation mortality in traditional operation induction group was higher than that in modified operation induction group (33.3% vs 0%). Survival rate was 0%, 0%and 25% in modified operation induction group, traditional operation induction group and D-gal group 24h later, respectively. ALT and NH3 in the modified operation induction group were significantly higher than those of D-gal group (P<0.05). TBIL and BG levels in the modified operation group were lower than those in the D-gal group, but the difference was not significant (P>0.05). Conclusions:The AHF model established by modified 95% hepatectomy is an ideal one. Injection of 5% glucose saline solution through median lobe hepatic vein at operation can reduce operative mortality.

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陈钟,黄华,吴振宇,祝文彩,李根喜.95%肝切除与药物诱导大鼠急性肝衰竭模型的比较[J].中国普通外科杂志,2005,14(1):11-.
DOI:10.7659/j. issn.1005-6947.2005.01.011

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  • 在线发布日期: 2005-01-25