首都医科大学学报 ›› 1984, Vol. 5 ›› Issue (3): 224-227.

• 论著 • 上一篇    下一篇

家兔出血性肠炎模型的建立及对局部型施瓦茨曼现象主要发生机理的认识

任世光, 陈忻, 马兰, 祝寿河   

  1. 1. 北京友谊医院;2. 北京市临床医学研究所微循环研究室
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1984-07-15 发布日期:1984-07-15

The Rabbit Model Foundation in the Necrotic Enterocolitis (NEC)and Study of Main Mechanism about the Local Shwartzman Phenomenon

Ren Shiguang   

  • Received:1900-01-01 Revised:1900-01-01 Online:1984-07-15 Published:1984-07-15

摘要: 本实验证实了祝寿河首先提出的坏死性小肠结肠炎的微循环障碍发病学说。在实验中,把内毒素注入家兔肠壁内24小时后,静脉注入内毒素,可复制成与人类坏死性小肠结肠炎病理改变相近似的节段性肠淤血、水肿、出血以致坏死的模型。将内毒素改成去甲肾上腺素,也同样可激发上述节段性改变。若先给酚妥拉明再给去甲肾上腺素,则可阻止其出现。提示:(1)坏死性小肠结肠炎与内毒素局部型施瓦茨曼反应有关。(2)内毒素所致的小血管α-受体反应性增加与坏死性小肠结肠炎的发病有关。

Abstract: This study demonstrated that Zhu Shou-he first proposed the idea of acute microcirculatory dys-fuction for pathogenesis of NEC. In this experiment endotoxin was injected into the intestinal walls of rabbits,and after 24 hours,into their veins.The experimental rab-bits developed segmental intestinal congestion,edema,hemorrhage,nec-rosis an NEC model was replicated, similar to the pathologic changes in human in the NEC. In another experiment,instead of endotoxin,we used intravenously injected noradrenalin,the similar pathological changes were found.If first phentolamine and then nora-drenalin were administrated,the pathologic changes could be aboli-shed. The above experimental results strongly suggested that:(1).NEC was closely related to the local Shwartzman phenomenon. (2).Increasing of a-receptor reac-tivity by endotoxin in the small-ves-sels was related to the pathogene-sis of NEC.