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胆道梗阻程度在重症胆管炎病程中的作用及其临床意义
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作者 郑启昌 胡佑华 +1 位作者 齐立行 官敏丽 《中国现代医学杂志》 CAS CSCD 1993年第4期5-7,79,共4页
本文分析了我院近十年的36例重症胆管炎(ACST)患者,结果显示:依梗阻是否完全,ACST可分成急性梗阻化脓性胆管炎(AOSC)和急性化脓性胆管炎(ASC),前者发展凶猛,死亡率极高,后者则预后较好。另外本文采用44只日本种长耳家兔以不同胆道梗阻... 本文分析了我院近十年的36例重症胆管炎(ACST)患者,结果显示:依梗阻是否完全,ACST可分成急性梗阻化脓性胆管炎(AOSC)和急性化脓性胆管炎(ASC),前者发展凶猛,死亡率极高,后者则预后较好。另外本文采用44只日本种长耳家兔以不同胆道梗阻制成胆道管炎模型,结果也证实,完全梗阻组48小时血压下降幅度达7.6kpa(55mmHg),较不全梗阻组(4kpa)为高(p<0.05),作者认为:胆道梗阻程度是ACST病情发展的重要因素。文中发现血内毒素与血压变化并不平行,可能存在其它影响因素。 展开更多
关键词 胆道 梗阻 重症胆管炎
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Effect of Increasing Biliary Tract Pressure on House Rabbit Blood Dynamics in Acute Cholangitis of Severe Type 被引量:2
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作者 郑启昌 齐立行 +2 位作者 胡佑华 官敏丽 王迪浔 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 1994年第4期230-232,234,共4页
In this study 12 Japanese long ear rabbits were used as models of acute cholangitis of severe type (ACST), and also an increasing pressure apparatus of selfmade caecus to form high pressure of the biliary tract. The a... In this study 12 Japanese long ear rabbits were used as models of acute cholangitis of severe type (ACST), and also an increasing pressure apparatus of selfmade caecus to form high pressure of the biliary tract. The animals were observed for changes in blood dynamics in an attempt to explore the effect and relation of high pressure of biliary tract and infective element in pathogenesis of ACST. It was found that when the biliary pressure was increased within 120 min in the 20 kpa group,the blood endotoxin level showed no obvious increment (P>0.05),but the decreased range of average MAP (mean artery pressure) was over 4 kpa,and the cardiac output also decreased evidently (P<0. 05) , and that when the biliary pressure was decreased,MAP and cardiac output were restored to normal gradually. Of these animals 3 didn't restore their normal condition when the blood pressure decreased to zero and died finally.Meanwhile the electric discharge frequency of the right greater splanchnic nerves increased (P<0.05),but when pressure was reduced, the frequency slowed down. From the above findings,the authors came to the conclusion that the rapid increase of the biliary tract pressure is the important factor leading to a decrease in blood pressure of ACST,and even bringing about irreversible shock , which is involved in the activity of splanchnic nerves. 展开更多
关键词 biliary tract pressure blood pressure cholangitis splanchnic nerves blood dynamics
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Changes in Cardiovascular Activity During an Increase in Biliary Tract Pressure in Rabbits
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作者 郑启昌 叶建宇 +2 位作者 胡佑华 官敏丽 王迪浔 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 1994年第3期181-182,184-185,共4页
In order to study the mechanism of decreased blood pressure caused by an acute increase in biliary tract pressure, we observed house rabbit model of self-made caecus for changes in cardiovascular function when biliary... In order to study the mechanism of decreased blood pressure caused by an acute increase in biliary tract pressure, we observed house rabbit model of self-made caecus for changes in cardiovascular function when biliary tract pressure was increased.It was found that both the blood pressure and cardiac output evidently decreased (P<0.05) parallelly, and the systolic pressure decreased more markedly than diastolic pressure. At the same time there was fluctuation in heart rate and in central venous pressure; but there was no significant difference between them (P>0. 05), suggesting that in the absence of infective agents,the increased biliary tract pressure can bring about a decrease in cardiac output, which is an important factor contributing to an early blood pressure decrease in acute cholangitis of severe type (ACST). 展开更多
关键词 biliary tract blood pressure cardiovascular system CHOLANGITIS PRESSURE
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