肝部分切除术对慢性四氯碳型肝炎患者肝脏氨解毒功能的影响

P N Savilov
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摘要

的目的。目的探讨肝部分切除术(PH)对慢性四氯碳(CCl4)型肝炎患者肝脏氨解毒主要途径(尿素和谷氨酰胺的合成)的影响。方法。实验以165只体重180-220 g的白色近交系大鼠(雌性)为实验对象,皮下注射50%的橄榄油CCl4溶液(0.1 ml/100g体重),连续65天,每天注射6-7次和13-14次,休息2周。PH电灼,切除部分肝脏左叶(占身体重量的15-20%)至第65天(也是最后一天)引入CCl4。动物在剖腹手术(“错误手术”动物)和部分肝切除术后第3,7和14天发生ccl4 -肝炎65天后进行研究。在肝脏亚细胞部分,研究了磷酸依赖性谷氨酰胺酶(FDG)、谷氨酰胺脱氢酶(GDG)、谷氨酰胺整合酶(GS)和精氨酸酶的活性。测定肝组织中氨、谷氨酰胺、谷氨酸和尿素的含量。结果。发现CCl4在肝脏发育第65天降低了氨、谷氨酰胺、谷氨酸、尿素的浓度,降低了GS、GDG和精氨酸酶的活性。活性FDG没有改变。慢性ccl4型肝炎背景下使用PH对FDG活性有短期(3天)刺激作用,对GS活性有延缓(14天)抑制作用。在维持谷氨酰胺和谷氨酸钠浓度降低的背景下,术后14天内肝脏氨浓度增加。CHA对精氨酸酶活性的刺激作用一直持续到术后第14天,但肝脏尿素浓度仍低于正常水平。结论。结果表明慢性肝炎背景下的CGA增加了CCl4对羊膜穿刺肝功能的病理影响。
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[Influence of partial hepatectomie on ammoniumdetoxications function of liver at chronic tetrachlorcarbon hepatitis].

The purpose. To study the effect of partial hepatectomy (PH) on the main ways of ammonia detoxication in the liver (synthesis of urea and glutamine) in chronic tetrachlorcarbon (CCl4) hepatitis. Methods. The experiments were performed on 165 white outbred rats (females) weighing 180-220 g Chronic CCl4-hepatitis was reproduced by subcutaneous injection of 50% CCl4 solution in olive oil (0.1 ml/100g of body weight,65 days, through the day with two two-week breaks between 6-7 and 13-14 injections). PH conducted electrocautery, removing part of the left lobe of the liver (15-20% by weight of the body) to 65th (and last) day of the introduction of the CCl4. Animals were studied after 65 days of development of CCl4-hepatitis on day 3, 7 and 14 days after laparotomy («falsely operated» animals) and partial hepatectomy. In subcellular fractions of the liver investigated the activity of phosphatdependent glutaminase (FDG), glutamatdehydrogenaze (GDG), glutaminsintetaze (GS), arginase. In the liver tissue investigated the content of ammonia, glutamine, glutamate and urea. Results. Found that on 65-th day of the development of CCl4 in the liver decreases the concentration of ammonia, glutamine, glutamate, urea, and activity of GS, GDG and arginase. Activity FDG was not changed. The use of PH on the background of chronic CCl4-hepatitis has a short-term (3 days) a stimulating effect on the activity FDG, GS, postponed (14 days) the inhibitory effect on the activity of GDG. This was accompanied by an increase in the concentration in the liver of ammonia within 14 days of the postoperative period on the background of maintaining reduced concentrations of glutamine and glutamate it. The stimulatory effect of CHA on the activity of arginase is saved to the 14th day of the postoperative period, however, the concentration of urea in the liver remained below normal. Conclusions. The obtained results show that CGA on the background of chronic hepatitis increases the pathological impact of CCl4 on amniocentesis liver function.

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