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供心不同热缺血时间下冷存各时段心肌ATP含量的变化

The changes of adenosine triphosphate of donor heart with different time of cold presevation at different warm ischemia duration

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【作者】 刘升黄立万于华饶华庚

【Author】 Liu Sheng, Huang Li, Wan Yuhua, et al(Department of cardiac and Thoracic surgery, the first affiliated hospital of Jiang Xi medical college, Nanchang, 330006)

【机构】 江西医学院一附院心胸外科江西医学院一附院心胸外科 南昌330006南昌330006

【摘要】 目的探讨离体供心不同热缺血时间下冷存各时段心肌三磷酸腺苷(ATP)含量的变化。方法新西兰白兔18只随机地分为三组,Ⅰ组热缺血0min,Ⅱ组热缺血5min,Ⅲ组热缺血10min。分别测定各组冷存30min,1h、2h、3h、4h心肌ATP的含量。结果Ⅰ组在冷存30min、1h、2h、3h、4hATP的值为缺血前的90.45%、78.8%、64%、57.7%、52.2%。Ⅱ组分别为70.8%、66%、57%、50.7%、43.2%。Ⅲ组分别为58.7%、49.7%、41%、32%、23%。对3组各时段ATP含量进行方差分析,结果示各组间存在明显的差异性。结论Ⅱ组在冷存3h左右,心肌ATP的含量降至缺血前50%左右;Ⅲ组约为1h左右ATP含量降至缺血前的50%。

【Abstract】 Objective To study the changes of Adenosine Triphosphate (ATP) of donor heart with different time of cold preservation at different warm ischemia duration. Methods New-Zealand rabbits (n=18) were randomly divided into three groups. Group Ⅰ, warm ischemia time was o minute; groupⅡ, was 5 minutes ;group Ⅲ,was 10 minutes.To each group, determination of myocardial ATP content of cold preservation of heart donor at 30 minutes ,l hour , 2 hours, 3hours,4hours, were done . Results In group Ⅰ, at 30minutes, l hour, 2hours, 3hours, 4hours, of cold preservation, the mean ATP content were 90.4%,78.8%,64%,57.7%,52.2%of the preischemic ATP value,respectively In group Ⅱwere70.8%, 66%,57%, 50.7% ,43.2%, In Ⅲ groups were 58.7%, 49.7%, 41%, 32%, 23%, respective ly Conclusion After 5 minutes warm ischemia, the time of half-life ATP after cold preservation is 3 hours or so; After 10 minutes warm ischemia, the time of half-life ATP after cold preservation is l hour or so.

  • 【文献出处】 江西医药 ,Jiangxi Medical Journal , 编辑部邮箱 ,2004年06期
  • 【分类号】R654.2
  • 【被引频次】1
  • 【下载频次】47
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