Influence of Preoperative Administration of GIK on Myocardial Ischemia in Rabbits
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Influence of Preoperative Administration of GIK on Myocardial Ischemia in Rabbits
Influence of Preoperative Administration of GIK on Myocardial Ischemia in Rabbits
解放军医学杂志(英文版)1987年第4期 页码:357-361
Affiliations:
1. Department of Thoracic and Cardiovascular Surgery Changhai Hospital Second Military Medical College Shanghai
3. Department of Biochemistry Second Military Medical College Shanghai
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纸质出版:1987
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Influence of Preoperative Administration of GIK on Myocardial Ischemia in Rabbits[J]. 解放军医学杂志(英文版), 1987,(4):357-361.
[1]杨传瑞,蔡用之,耿振江,张宝仁,朱家麟,郝家骅,陈克明,王学敏,石颖.Influence of Preoperative Administration of GIK on Myocardial Ischemia in Rabbits[J].Journal of Medical Colleges of PLA,1987(04):357-361+394.
Influence of Preoperative Administration of GIK on Myocardial Ischemia in Rabbits[J]. 解放军医学杂志(英文版), 1987,(4):357-361.DOI:
[1]杨传瑞,蔡用之,耿振江,张宝仁,朱家麟,郝家骅,陈克明,王学敏,石颖.Influence of Preoperative Administration of GIK on Myocardial Ischemia in Rabbits[J].Journal of Medical Colleges of PLA,1987(04):357-361+394.DOI:
Influence of Preoperative Administration of GIK on Myocardial Ischemia in Rabbits
摘要
Abstract
<正> A new experimental extracorporeal circulation (ECC) in vivaheart was established in three randomized groups of eight rabbits each.Group I received insulin (6U/kg) together with a 50% glucose infusion(6g/kg) and potassium (1.2mEq/kg)(GIK) before operation
while group Ⅱreceived Ringer’s lactate solution and group Ⅲ received 50% glucosesolution at the same infusion rate. Forty minutes after ischemia
biopsiesof the heart were made in order to analyze the tissue contents of adenosinetriphosphate and creatine phosphate by means of bioluminescent technique.Myocardial glycogen level was examined by electron microscopy. The meanadenosine triphosphate content in group I was 6.31μ mol/g and wassignificantly (P<0.01) higher than that of group Ⅱ (3.63μ mol/g) andgroup Ⅲ(2.99 μ mol/g). The mean creatine phosphate content of group I
(4.02μ mol/g)
was also significantly higher than that of group Ⅱ (2.13μmol/g)(P<0.05). The content of creatine phosphate of group Ⅲ was 3.20 μmol/g
with approximately significant difference as compared with group I.The myocardial ultrastructure of group I showed higher level of myocardialglycogen after ischemia. It is concluded that the preoperative use of GIKmay augment the storage of myocardial adenosine triphosphate
creatinephosphate and glycogen
which might enhance the myocardial tolerance toischemia.
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