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7.62 mm弹颅脑火器伤实验研究——Ⅱ.大剂量地塞米松防治继发病理损害的作用 被引量:2

AN EXPERIMENTAL STUDY OF CRANIOCEREBRAL INJURY CAUSED BY 7.62 mm BULLETS IN DOGS Ⅱ.THERAPEUTIC EFFECT OF HIGH DOSE DEXAMETHASONE
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摘要 本实验用犬制作高速弹颅脑火器伤模型,研究了大剂量地塞米松(5mg/kg,致伤后5min静脉注射在防治高速弹颅脑火器伤继发病理损害中的作用。通过生理指标、血和脑脊液酶学、血脑屏障通透性定量指标对比和距伤道的不同距离的光镜和电镜观察研究,证明应用大剂量地塞米松能在一定程度上保护和恢复血脑屏障的结构和功能;保护脑细胞的结构;减轻呼吸和循环系统的继发病理效应,并可减少脑的脂质过氧化物产生等。 The effect of high dos; dexamethasone(5mg/kg wt, intravenous injection)to prevent and treat the secondary pathological damage of craniocerebral injury was studied in animal models of craniocerebral injury caused by high-velocity missiles in dogs.We observed ths physiological changes, analyzed the value of serum and. cerebrospinal fluid lactate dehydrogenase, estimated the permeability of blood brain barrier (BBB) and studied brain pathology by light and electron microscopy.The results suggest high dose dexamethasone can help to restore ths structure and function of BBB, protect brain cells as well as lessai the secondary pathological damage in tha respiratory and circulatory systems and reduce th production of lipoptrox-ides(LPO).
出处 《第二军医大学学报》 CAS CSCD 北大核心 1989年第3期209-215,共7页 Academic Journal of Second Military Medical University
关键词 颅脑火器伤 血脑屏障 地塞米松 head injury gunshot wound experimental model dexamethasone pathology of brain brain blood barrier
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  • 1雷鹏,朱诚,张光霁,卢亦成,刘荫秋.7.62 mm弹颅脑火器伤实验研究——Ⅰ、脑贯通伤、脑切线伤和颅骨切线伤的比较[J].第二军医大学学报,1989,10(3):201-208. 被引量:16
  • 2Lan NC,Karin M,Nguyen T et al.Mechanism of glucocorticoids homone action. Journal of Steroid Biochemistry . 1984
  • 3Hall ED and Branghler JM.Effects of untravenous methylpredainsolone on spinal cord lipid perosidation and (Na~++K~+)-ATPase activity:Dose-response analysis during 1st hour of contusion injury in the cat. Journal of Neurosurgery . 1982
  • 4Dearden NM,Gibson JS,McDowall DG et al.Effect of high-dose dexamthasone on outcome from severe head injury. Journal of Neurosurgery . 1986
  • 5Kobrine AL and Kempe LG.Studies in head injury:Part 2.effects of dexamethasone on traumatic brain swelling. Surgical Neurology . 1973
  • 6Hall ED,and Branghler JM.Acute effects of intravenous glucocorticoid pretrcatment on the vitro pre-radation of the spinal cord tissue. Experimental Neurology . 1981
  • 7宫钦志,朱诚,徐仁宝,杨中坚,谭金兴,乐颖影.大鼠创伤性脑水肿脑胞液中糖皮质激素受体的变化[J].第二军医大学学报,1992,13(1):1-5. 被引量:8

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