[Abstract] [Full Text PDF] (in Japanese / 725KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 93(2): 197-207, 1992


Original article

AN EXPERIMENTAL STUDY OF MYONEPHROPATHIC METABOLIC SYNDROME (MNMS)

1) National Cardiovascular Center Research Institute, Suita, Japan
2) Cardiovascular Surgery, National Cardiovascular Center, Suita, Japan
3) First Department of Surgery, Chiba University School of Medicine, Chiba, Japan

Yoko Onuki1), Seiji Adachi2), Motomi Ando2), Shigeyasu Takeuchi2), Nobuyuki Nakajima2), Katsuji Okui3)

We have attempted to establish dog experimental model similar to clinical MNMS. Thirty-five dogs were divided into four groups; G-1: Ligation of abdominal aorta.(N=5), G-2 : Ligations as above for 6 hours and reperfusion. (N=12), G-3 : Same as G-2+ligation of superior epigastric arteries(N=13), G-4: Same as G-2+transection of abdominal muscles (N=5). Biochemicals, electrolytes and blood gas analysis in artery and vein were measured before, 6 hours after clamp, 5 minutes, 1 hour, 6 hours after reperfusion. Skeletal muscle Pco2, pH of lower leg were continuously measured. In G-1, no dog showed MNMS, in G-2, half of the dogs developed MNMS, in G-3, MNMS developed 9, but not in 4. In G-4, 4 dogs died during aortic cross-clamping. Satisfactory results were obtained in G-3. From the results of statistical analysis, the measurement of GOT, LDH, CPK, Cr and tissue Pco2, pH showed high significance between MNMS (+) and (-), and had correlation with K, BE, pH of artery and vein after reperfusion. Therefore, we consider that above factors are appropriate predictors for MNMS.


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