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探讨动物失血后肝、脑组织糖皮质激素受体(GR)的变化及其意义。成年雄性SD大鼠,麻醉后经颈动脉插管放血0~40%,或肌注不同剂量的Ru486以阻断组织的GR0,50%和80%。结果:大鼠失血0~40%后3小时,肝、脑组织胞液GR量随失血量增加而进行性下降;大鼠失血30%后0~3小时,肝、脑组织GR含量随失血持续时间延长而进行性减少;组织GR与失血量、失血持续时间呈显著的负相关。预先阻断大鼠GR0、50%和80%后再放血10%,结果GR阻断率越大,则大鼠颈动脉压越低,时间存活率越小。提示:失血可引起组织GR减少,失血量越大、失血持续时间越长,GR减少越明显;GR可作为反映动物失血严重程度及判断其预后的重要指标
To investigate the changes of glucocorticoid receptor (GR) in liver and brain tissue after blood loss in animals and its significance. Adult male Sprague-Dawley rats were anesthetized and cannulated with carotid artery cannulation for 0-40%, or different doses of Ru486 were injected intramuscularly to block the GR0, 50% and 80% of the tissue. Results: After 3 hours of blood loss from 0 to 40% in rats, the amount of GR in liver and brain cells decreased progressively with the increase of blood loss. The levels of GR in liver and brain increased with blood loss from 0 to 3 hours after 30% Prolonged and progressive reduction; tissue GR and blood loss, blood loss duration was significantly negatively correlated. Pre-blocking rat GR0 50% and 80% and then bleeding 10%, the results of GR block rate, the lower the carotid artery pressure, the smaller the survival rate. Hint: blood loss can cause the reduction of tissue GR, the greater the blood loss, the longer the duration of blood loss, the more obvious the decrease of GR; GR can be used as an important index to reflect the severity of blood loss and prognosis