QUAN Ming-tao1, JIANG Zhi-xia1, REN Guang-yang1, et al. The experimental study on secondary lung injury by aspiration in severe brain injury rats. [J]. Journal of Chongqing Medical University 36(8):921-923(2011)
QUAN Ming-tao1, JIANG Zhi-xia1, REN Guang-yang1, et al. The experimental study on secondary lung injury by aspiration in severe brain injury rats. [J]. Journal of Chongqing Medical University 36(8):921-923(2011) DOI: 10.13406/j.cnki.cyxb.2011.08.023.
The experimental study on secondary lung injury by aspiration in severe brain injury rats
Objective:To investigate gastric aspiration induced lung injury in severe brain injury.Methods:50 male SD rats were randomly divided into control group(n=10) and experimental group(n=40).The severe brain injury in experimental group was made by an improved method of Marmarou model
and then the aspiration models were made by intratracheal instillation of gastric juice.Each ten rats were killed to collect samples at 2 h
6 h
24 h and 48 h separately after the models were made.Plasma neutrophil elastase(Neutrophil Elastase
NE) content
the NE content and interleukin-8(IL-8) content in bronchoalveolar lavage fluid(BALF) were detected by using enzyme-linked immunosorbent assay(ELISA);immune turbidimetric determination was used for the albumin concentration in BALF;and optical microscope for pathological changes in lung tissue.Results:BALF and plasma NE levels began to increase at 2 h
which was significant compared with the control group(P<0.05).NE in BALF increased at a significantly higher rate than in plasma;IL-8 level in BALF began to increase at 2h
and meanwhile
BALF albumin concentration was significantly increased(P<0.05);NE
IL-8 in BALF and albumin concentration had positive correlation(P<0.01).Conclusion:Aspiration after severe brain injury can cause inflammation in lung tissue
and NE and IL-8 take part in pulmonary inflammatory response
resulting in lung injury.
关键词
重度脑损伤急性肺损伤中性粒细胞弹性蛋白酶
Keywords
severe brain injuryacute lung injuryneutrophil elastase