大鼠脓毒症模型的凝血功能研究
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(1. 广东药科大学中药学院,广州 510006; 2. 广东省实验动物重点实验室,广东省实验动物监测所,广州 510663; 3. 清远职业技术学院,广东清远 511510)

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广东省科技计划项目资助(No. 2015A030302034,No. 2013B060300025,No. 2016A030313790)


Coagulatory dysfunction in septic rats
Author:
Affiliation:

(1. School of Traditional Chinese Medicine, Guangdong Pharmaceutical University, Guangzhou 510006, China. 2. Guangdong Provincial Key Laboratory of Laboratory Animals, Guangdong Laboratory Animals Monitoring Institute,Guangzhou 510663. 3. Qingyuan polytechnic, Qingyuan 511500)

Fund Project:

Science and Technology Planning Project of Guangdong Province (No. 2015A030302034, No.2013B060300025, No.2016A030313790)

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    摘要:

    目的 探讨盲肠结扎穿孔法(cecal ligation and puncture,CLP)所致脓毒症大鼠模型凝血功能的变化?方法 采用CLP 诱导SD 大鼠脓毒症,术后8?16 和48 h 时检测相关的凝血功能指标,采用HE 染色观察肺?肾?肝?脾的组织病理学变化?结果 CLP 诱导的脓毒症大鼠12 d 生存率为30%,发病急且死亡率较高?在疾病发展的急性期内,CLP 大鼠8 h 时出现APTT 时间延长( P <0.05),16 h 时出现PT 时间延长( P <0.05),内源凝血途径的XII 活性及外源性凝血途径的VII 活性出现一过性抑制?TT 在48 h 出现延长( P <0.01)?FIB 的含量从16 h 开始逐渐增多( P <0.001)?与凝血和抗凝功能有关的其他重要指标中PLT 数量从8 h 逐渐下降( P <0.01);vWF:Ag 量从8 h 逐渐增多( P <0.001);D-D 量从16 h 逐渐升高( P <0.05);PS:Ag 量直到48 h 出现明显下降( P <0.001);而AT-III 含量无明显变化?病理检查发现肺?肾?肝?脾组织存在不同程度的损伤,但未显示明显的静脉血栓和出血特征?结论 大鼠脓毒症模型在急性期内存在凝血功能紊乱,但未观察到凝血功能引起的组织病理变化?

    Abstract:

    Objective To investigate the changes of coagulatory function in septic rats induced by cecal ligation and puncture (CLP). Methods Cecal ligation and puncture (CLP) were performed to induce sepsis in SD rats. Coagulation indexes were detected at 8, 16 and 48 h after operation, and histopathological changes of the lung, kidney, liver and spleen were examined using HE staining. Results The 12-day survival rate of the CLP-induced septic rats was 30%, with an acute onset and high mortality. In the acute phase of disease development of the CLP rats, the activated partial thromboplastin time (APTT) was prolonged ( P <0.05) at 8 h, the prothrombin time (PT) was prolonged at 16 h ( P <0.05), the factor XII activity in the endogenous coagulation pathway and the factor VII activity in the extrinsic coagulation pathway showed a transient inhibition, the thrombin time (TT) was prolonged at 48 h ( P < 0.01), and the content of fibrinogen (FIB) was increased gradually from 16 h ( P < 0.001). Among the other important coagulation and anticoagulation indexes, the number of platelets (PLT) was decreased gradually from 8 h ( P <0.01), while the number of vWF:Ag increased gradually from 8 h ( P <0.001). The D-dimer amount gradually increased from 16 h ( P <0.05), and the amount of PS:Ag significantly decreased until 48 h ( P < 0.001). However, there was no significant change in the antithrombin-III (AT-Ⅲ) content. The histopathological examination showed that there are different degrees of damages in the lung, kidney, liver and spleen tissues, but no obvious venous thrombosis and bleeding were found. Conclusions In the acute phase, there is coagulatory dysfunction in the septic rats, however, no histopathological changes such as venous thrombosis and bleeding were observed in the lung, kidney, liver and spleen tissues due to coagulatory dysfunction.

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李锦灵,黄树武,李舸,刘书华,李韵峰,关雅伦,李雪娇,黄韧,王晖,张钰.大鼠脓毒症模型的凝血功能研究[J].中国实验动物学报,2018,26(2):224~229.

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  • 收稿日期:2017-09-13
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  • 在线发布日期: 2018-05-14
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