重症休克淋巴微循环的变化

The changes of mesentery lymph microcirculation in serious hemorrhagic shock rat

  • 摘要: 目的: 观察重症失血性休克大鼠淋巴微循环的变化及对血管活性物质内皮素(endothelin)和前列环素(prostacyclin)的反应。方法: 由颈总动脉放血复制重症失血性休克模型,在37℃恒温箱内用OLYMPUS SH 2生物显微镜观察肠系膜淋巴管的运动及其反应;经乳糜池插管收集淋巴液,用粘度计检测淋巴液粘度。结果: 重症失血性休克大鼠肠系膜淋巴管收缩频率和收缩幅度明显下降,淋巴流量和淋巴液粘度明显减少,与对照组相比差异显著(P<0.05);对血管活性物质内皮素和前列环素的反应减弱。结论: 重症失血性休克时淋巴微循环严重衰竭,因此改善淋巴微循环是纠正重症休克的重要环节之一。

     

    Abstract: Objective: The aim of the study was to measure the changes of mesentery lymph microcirculation and reactions to vascular active substances such as endothelin and prostacyclin in serious hemorrhagic shock rat. Methods: The rat model of serious hemorrhagic shock was made by bloodletting from common carotid artery. Movements and reactions of mesentery lymph microcirculation were observed with OLYMPUS SH 2 biologic microscope in 37 ℃ constant temperature box. The lymph were collected by intubating into chylocyst. The viscosity of lymph was measured by a viscometer. Results: Serious hemorrhagic shock led to a decrease of contractive frequencies and contractive ranges of mesentery lymph microcirculation, and a decrease in flux and viscosity of lymph. The reactions of mesentery lymph microcirculation to endothelin and prostacyclin were weaken. Conclusion: Serious failure of lymph microcirculation occurred in serious hemorrhagic shock rat. So improving lymph microcirculation is one of important treatments of serious shock.

     

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