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为了观察甲基特丁基醚(MTBE)在活体内溶解胆石的安全剂量及其毒、副作用,选用体重8.5~16.4kg的杂种犬10只,将直径约1cm的人胆囊结石Ⅰ、Ⅳ型各1块置入犬胆囊中,同时于胆囊内置入硅胶管1根,引出腹外,间断分次注入MTBE,随机确定灌注剂量,同时监测呼吸等生命体征变化,手术前后分别行肝、肾功能检查及肝、胆囊组织病理切片检查。结果:①动物模型的Ⅰ、Ⅳ型结石均全部迅速溶解,但MTBE有一定毒性,其对中枢神经系统有一定的抑制作用,应用时须严格掌握单位时间内的灌注剂量及总量(控制在60ml左右);②实验犬实验前后的肝、肾功能检查无异常;③病理检查结果提示MTBE对胆囊组织无明显损伤,无严重炎性反应,给药后短期内肝窦和中央静脉有凝血现象,但其组织学变化是可逆的。
In order to observe the safe dose of MTBE dissolved in vivo and its toxic and side effects, 10 dogs with body weight 8.5 ~ 16.4kg were selected, and the gallbladder stones with a diameter of 1cm, Ⅳ type 1 into the canine gallbladder, at the same time in the gallbladder into a silicone tube, leads to the abdomen, intermittent injection of MTBE, a random determination of perfusion dose, while monitoring changes in vital signs such as respiration, before and after surgery, respectively, liver, Renal function tests and liver, gallbladder tissue biopsy. Results: ①The type Ⅰ and type Ⅳ stones of animal model all dissolved rapidly, but MTBE was toxic. It had a certain inhibitory effect on the central nervous system. When applied, the dosage and total amount of perfusion per unit time should be strictly controlled 60ml or so); ②The liver and kidney function tests before and after experimental dogs were normal; ③The results of pathological examination showed that MTBE had no obvious injury to gallbladder tissues, no serious inflammatory reaction, coagulation phenomenon of sinusoids and central venous shortly after administration , But its histological changes are reversible.