Tolerance of portal vein occlusion by meso-caval shunt in Bama swines
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Tolerance of portal vein occlusion by meso-caval shunt in Bama swines
Journal of Army Medical UniversityVol. 30, Issue 24, Pages: 2299-2301(2008)
作者机构:
第三军医大学西南医院全军肝胆外科研究所
作者简介:
基金信息:
DOI:
CLC:R605;R-332;R657.3
Published:2008,
Published Online:30 December 2008,
稿件说明:
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HUANG BO, BIE PING, FENG CHUN-LIN, et al. Tolerance of portal vein occlusion by meso-caval shunt in Bama swines. [J]. Journal of army medical university, 2008, 30(24): 2299-2301.
DOI:
HUANG BO, BIE PING, FENG CHUN-LIN, et al. Tolerance of portal vein occlusion by meso-caval shunt in Bama swines. [J]. Journal of army medical university, 2008, 30(24): 2299-2301.DOI:
Tolerance of portal vein occlusion by meso-caval shunt in Bama swines
Objective To establish an animal model of hepatic inflow occlusion with meso-caval shunt in Bama swines and to evaluate the tolerance limit of portal vein occlusion. Methods Fourteen Bama swines were divided into group A and group B
and their portal vein blood inflow was blocked respectively for 120
1
50 min. The animal survival rate
the changes of liver function and histopathology were observed before occlusion and reflow
and 2 h
1
3
5 d after reflow. Results All through the portal vein occlusion process
the gut was of no significant congestion and in normal color
suggesting the temporary portacaval shunt is efficient. The animal survival rate of group A was significantly higher than that of group B (100%
vs
57.1%
P<
0.05). For groups A and B
a rise of their ALT
AST
TBIL values were observed
and those changes in group B were higher than those of group A. At 150 min after portal vein occlusion
great amount of hemorrhage
WBC aggregation
cell vacuolation and focal necrosis of hepatic tissues in portal area were observed in group B. Two hours after reflow
further deteriorated lesions occurred
such as fat degeneration
ballooning degeneration of hepatocyte
swelling endothelial cells
and congestion of sinus hepaticus under light microscope or electron microscope
less severe in group A than group B. Under electron microscope
mitochondrial edema and the expansion of endoplasmic reticulum of group B were more obvious
and additionally there were most concentrated nucleus
deposition of fibrous matrix
and other irreversible injury. Conclusion Two hours is the tolerance limit for the portal vein occlusion for Bama swine under the condition of meso-caval shunt.
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