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血管内皮细胞损伤在脓毒症大鼠心肌损伤中的作用

徐秋林 刘静贤 郭晓华 刘志峰 唐柚青 刘云松 苏磊

中国动脉硬化杂志2012,Vol.20Issue(12):1064-1068,5.
中国动脉硬化杂志2012,Vol.20Issue(12):1064-1068,5.

血管内皮细胞损伤在脓毒症大鼠心肌损伤中的作用

Role of Vascular Endothelial Cell Damage in Myocardial Injury in Septic Rats

徐秋林 1刘静贤 1郭晓华 2刘志峰 1唐柚青 1刘云松 1苏磊1

作者信息

  • 1. 广州军区广州总医院重症医学科,广东省广州市510010
  • 2. 南方医科大学病理生理学教研室,广东省广州市510515
  • 折叠

摘要

Abstract

Aim To investigate the role of endothelial damage related to septic myocardial injury. Methods 30 Sprague-Dawley rats were divided into 3 groups; sham-operation group, sepsis group and ulinastatin grouo. Plasma von Willebrand factor (vWF) and thrombomodulin (TM) levels were detected with ELISA, plasma creatine kinase (CK) and creatine kinase isoenzyme (CK-MB) levels with reflotron plus clinical chemistry analyser, left ventricular pressure (LVP) , the maximum and minimum rates of LVP change ( + dp/dtmax and - dp/dtmax) by cardiac cathete rization and brain natriuretic peptide ( BNP) levels by Western blot. Results Plasma CK, CK-MB and cardiac BNP levels were elevated, LVP, + dp/dtmax and - dp/dtmax decreased as vWF and TM levels increased in sepsis group compared with those in sham-operation group. However, reduced myocardial injury and improved cardiac function were observed in ulinastatin group. Conclusion Endothelial damage in coronary probably contributes to sepsis induced myocardial injury.

关键词

血管内皮细胞损伤/脓毒症/心肌损伤/乌司他丁

Key words

Vascular Endothelial Cell Damage/ Sepsis/ Myocardial Injury/ Ulinastatin

分类

医药卫生

引用本文复制引用

徐秋林,刘静贤,郭晓华,刘志峰,唐柚青,刘云松,苏磊..血管内皮细胞损伤在脓毒症大鼠心肌损伤中的作用[J].中国动脉硬化杂志,2012,20(12):1064-1068,5.

基金项目

国家自然科学基金项目资助(81071529) (81071529)

广东省自然科学基金项目资助(9151001002000021.2009,01-2012,12) (9151001002000021.2009,01-2012,12)

中国动脉硬化杂志

OA北大核心CSCDCSTPCD

1007-3949

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