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人工心脏瓣膜—牛心包瓣免疫问题的初步探讨

IMMUNOLOGIC PROBLEMS OF THE PROSTHETIC CARDIAC VALVES——BOVINE PERICARDIAL BIOPROSTHETIC VALVE(A PRELIMINARY STUDY)

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【作者】 肖学钧詹樾孙培吾郭娟霞

【Author】 Xiao Xuejun Zhan Yue Sun Peiwu Thoraco-Cardiovasculas Section,Department of Surgery,The Second Affiliated Hospital,Hunan Medical CollegeGuo Juanxia Department of Histology and Embryology,Hunan Medical College Postgraduate preceptor

【机构】 湖南医学院第二附属医院心血管外科湖南医学院组织胚胎学教研组 研究生指导老师指导老师

【摘要】 本文报告了家兔皮下埋藏牛心包后的组织学和免疫荧光检查,以及牛心包瓣置换术后病人的免疫荧光检查,从而探讨牛心包的免疫原性和免疫反应性,为进一步使用牛心包瓣提供实验及临床依据。

【Abstract】 Histological and immunofluorescent examinations of the bovine pericardiumimplanted subcutaneously in rabbit showed that the glutaraldehyde-preserved pericar-dium could only induce less host cellular response and serum antibodies against thegraft than the fresh pericardium.This experimental result might explain that theglutaraldehyde could probably minimize,but not completely eliminate the antigenicityof the pericardium.lndirect immunofluorescent technique was used to detect the serum antibodiesof the patients who had been replaced valve with bovine pericardium bioprostheticvalve.The result showed that most patients had only a few serum antibodiesagainst the graft.The follow-up has led to the consideration that only a fewantibodies against the graft might not give effect to the function of bovine pericardialbioprosthesis.Ten pictures of histological and immunofluorescent evidence with English illust-rations are demonstrated in this article.

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