Protective effects of ulinastatin on the lung injury during cardiopulmonary bypass / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
;
(12): 670-672, 2005.
Article
in Chinese
| WPRIM
| ID: wpr-813452
ABSTRACT
OBJECTIVE@#To determine the protective effects and mechanism of ulinastatin on the lung injury during cardiopulmonary bypass (CPB).@*METHODS@#Thirty patients with rheumatic heart disease (RHD) were divided into 2 groups randomly. The ulinastatin group (Group U, n = 15) received 1 x 10(4)U/kg ulinastatin intravenously before the CPB and the same amount of ulinastatin was added into the primary solution. The control group (Group C,n = 15) received normal saline instead of ulinastatin. A brochioalveolar lavage was performed at 2 h after the cardiopulmonary bypass. Polymorphonuclear neutrophil elastase, tumor necrosis factor-alpha and MDA contents in the brochioalveolar lavage fluids were measured, and the lung oxygenate index was measured preoperatively and at 1 and 4 h after CPB termination.@*RESULTS@#Polymorphonuclear neutrophil elastase, tumor necrosis factor-alpha and MDA contents of Group U in the brochioalveolar lavage fulids were significantly lower than those of Group C (P < 0.05), and the lung oxygenate index of Group U at 1 and 4 h after CPB termination was also significantly lower than that of Group C. A significant increase of lung oxygenate index occurred in both groups at 1 and 4 h after CPB when compared with the same group at the baseline before CPB (P < 0.05).@*CONCLUSION@#Ulinastatin has the protective effects on the lung injury during CPB by decreasing polymorphonuclear neutrophil elastase, alleviating lung inflammatory reaction and reducing oxygen free radicals.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Respiratory Distress Syndrome
/
Rheumatic Heart Disease
/
General Surgery
/
Bronchoalveolar Lavage Fluid
/
Glycoproteins
/
Cardiopulmonary Bypass
/
Trypsin Inhibitors
/
Tumor Necrosis Factor-alpha
/
Leukocyte Elastase
/
Protective Agents
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Journal of Central South University(Medical Sciences)
Year:
2005
Type:
Article
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