[深度部分厚度烧伤大鼠血浆纤维蛋白溶解与创面的变化]。

P Fang, R Ding, L Kong
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引用次数: 0

摘要

我们观察了烫伤后10天大鼠深度部分厚度烧伤创面组织病理学和纤维蛋白溶解的变化,以探讨深度部分厚度烧伤创面早期进行性损伤与纤维蛋白溶解愈合的关系。通过马松三色胶原染色,我们发现部分厚度烧伤创面在烧伤后72小时内逐渐恶化,创面边缘表皮细胞增生,在烧伤后第10天在坏死和残留胶原之间爬行。血浆和创面24小时渗出液纤维蛋白溶解参数测定结果显示,烧伤后2小时纤维蛋白溶解被激活,但烧伤后24小时至观察的最后一天(烧伤后10天)纤维蛋白溶解被抑制。分析纤溶参数的动态变化及其相互关系,发现损伤后抑制纤溶的因素可能是PAI、α 2-抗纤溶蛋白和抗凝血酶II活性的增强。结果提示,抑制纤维蛋白溶解可保护创面纤维蛋白不被溶解,并在深部分厚烧伤早期进行性恶化及愈合调控中发挥重要作用。
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[The changes of fibrinolysis in plasma and wounds in rats inflicted with deep partial thickness burns].

We observed the changes in wound histopathology and fibrinolysis of rats with deep partial thickness burns during 10 days after scalding in order to study the relations of early progressive damage of deep partial thickness burn wound and the healing of the wound to fibrinolysis. Using Masson's trichrome stain of collagen, we demonstrated that partial thickness burn wound progressively deteriorated within 72 hours postburn, and epidermal cells on wound edge proliferated, creeping between necrotic and residual collagen by 10th day postburn. The results of assays of fibrinolytic parameters in plasma and 24 hour exudate from wound showed that fibrinolysis activated at 2 hour postburn but had been suppressed by 24 hour postburn till last day (10 day postburn) of the observation. The analysis of dynamic changes and relations in fibrinolytic parameters revealed that the suppressive factors of fibrinolysis might be enhanced activities of PAI, alpha 2-antiplasmin and antithrombin II after injury. Results suggested that suppression of fibrinolysis might protect fibrin deposited in the wound from lysis and play an important role in early progressive deterioration of deep partial thickness burn and regulation of its healing.

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