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中国临床药理学与治疗学 ›› 1999, Vol. 4 ›› Issue (4): 279-281.

• 论著 • 上一篇    下一篇

抗生素及抗凝药对小鼠腹膜影响实验研究

张怡玲, 唐建吾1, 董振波, 郭亚芳   

  1. 大连医科大学附属二院肾内科,病理教研室,大连 116033
  • 收稿日期:1999-10-07 修回日期:1999-11-08 发布日期:2020-11-27
  • 作者简介:张怡玲。女,41岁,主任医师。

Experimental study of antibiotics and anticoagu lants effection on mouse peritonaeum

  1. Department of nephrology, the 2nd Affiliated Hospital of Dalian Medical University, Dalian 116023
  • Received:1999-10-07 Revised:1999-11-08 Published:2020-11-27

摘要: 目的 观察抗生素及抗凝药对腹膜的影响,探讨腹膜透析相关硬化性腹膜炎的因素。方法 用小鼠建主腹膜透析实验模型,模拟腹膜透析常用的药物注入小鼠腹腔内,通过大体解剖和光镜组织学观察各种药物在不同时间腹膜结构的变化。结果 丁胺 卡那霉素、头孢拉啶、头孢呋新(西力欣)、环丙沙星、肝素及尿激酶在用药2~4 wk均使腹膜间皮细胞丧失,炎症细胞浸润、纤维细胞增生;在用药6~8wk更为显著。停药后这些改变不能完全恢复。结论 腹膜透析常用的抗生素及抗凝药均有致腹膜硬化的作用,但程度不一,这对临床选药及腹功能的保护具有重要意义。

关键词: 药物, 腹膜透析, 腹膜硬化

Abstract: Aim The effects of antibiotics and anticoagulants on mouse peritonaeum were observed to explore the factor of the peritoneal dialysis related sclerosing peritonitis. Methods The experimental models of peritoneal dialysis were established in mice by infusing different kind of drugs to the peritoneal cavity and the changes of the peritoneal membrane for each drug at different time were observed by the autopsy and light microscope for several weeks.Results Amikacin, Cefradine, Zinacef, Ciprofloxacin, Heparin and Urokinase could induce sclerosing changes of peritoneal membrane such as loss of peritonel mesothelum ifltration of ilammaory clls and of polirntion ibrcell.Thee changes were ireresrible efter the drugs were stoped.Conclusion The drugs commonly used in prioneal dalysis may in dfen deree resul in peioneal sclerosis.

Key words: drug, pritoeal dalys, peioneal sclerosis

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