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采用原子吸收光谱技术测定清醒兔脊髓缺血20min再灌流不同时间的Na、K、Ca、Mg和Fe含量,并用干湿法测定脊髓水含量。在再灌流12~48h,L7、L6和L5发生严重水肿,L4在48h也发生水肿;L4的Na含量在再灌流4d、Ca含量在再灌流7d才显著升高,提示Na储留、水肿和Ca超载是脊髓继发损伤过程中的病理表现。L4K含量在缺血20min下降不显著,但再灌流2h即进行性下降,持续至7d;L4Mg在缺血20min即显著下降,再灌流12h恢复,24~48h再次下降;表明K和Mg含量下降与脊髓缺血性继发损伤和功能障碍密切相关。
The content of Na, K, Ca, Mg and Fe in spinal cord of conscious rabbits at 20 min after reperfusion was measured by atomic absorption spectrometry. The water content of spinal cord was measured by dry and wet method. At 12-48 hours after reperfusion, severe edema occurred on L7, L6 and L5 and edema occurred on L4 at 48th hour. The content of Na in L4 was significantly increased at 7 days after reperfusion, suggesting that Na retention, edema and Ca overload is a pathological manifestation of secondary spinal cord injury. The content of L4K was not significantly decreased at 20min after ischemia, but it declined progressively 2h after reperfusion, which lasted for 7 days. L4Mg decreased significantly at 20min after ischemia, resumed at 12h after reperfusion and decreased again at 24-48h. Secondary spinal cord ischemic injury and dysfunction are closely related.