急性胰腺炎肠道屏障功能损伤时血浆内毒素和D-乳酸的变化
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吴彪

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Changes of plasma endotoxin and D-lactate during intestinal mucosal barrier injury of acute pancreatitis
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    目的:探讨急性胰腺炎肠道功能损伤时内毒素和D-乳酸的变化。方法:Wistar大鼠随机分为假手术(SO)组和重症急性胰腺炎(SAP)组。术后分4个时段心脏抽血处死,取胰腺组织和回肠组织行组织学检查。偶氮显色法测定血浆内毒素;改良分光光度法测定血浆D-乳酸。结果:SAP组血浆内毒素和D-乳酸随发病时间的延长而持续升高,SO组血浆内毒素和D-乳酸随时间的延长无明显变化。两组比较差异显著(P<0.05)。内毒素与D-乳酸呈正相关。(r=0.7323,P<0.05)。结论:内毒素和D-乳酸在SAP肠道损伤时升高,可作为评价肠道屏障功能的指标。

    Abstract:

    Objective:To explore the changes of plasma endotoxin and D-lactate during intestinal mucosal barrier injury of acute pancreatitis.Methods:Wistar rats were randomly divided into sham-operation(SO)group,and severe acute pancreatitis (SAP)group. Plasma endotoxin and D-lactate were determined at 1,3,6 and 12 hour after operations.Results:The plasma endotoxin and D-lactate in SAP group increased obviously with time,and the difference betueen the 2 groups was significante(P<0.05).Endotoxin and D-lactate were positively correlated.Conclusions:The plasms endotoxin and D-lactate are increased during gut injury of SAP,and can be used as indexes to evaluate the function of the intestinal mucosal barrier.

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吴彪, 王春友.急性胰腺炎肠道屏障功能损伤时血浆内毒素和D-乳酸的变化[J].中国普通外科杂志,2009,18(3):5-.
DOI:10.7659/j. issn.1005-6947.2009.03.005

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  • 在线发布日期: 2009-03-25