[
Abstract]
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J.Jpn. Surg. Soc.. 93(2): 197-207, 1992
Original article
AN EXPERIMENTAL STUDY OF MYONEPHROPATHIC METABOLIC SYNDROME (MNMS)
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 Pco
2, 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 Pco
2, 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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