the effect of intra-abdominal hypertension incorporating severe acute pancreatitis in a porcine model腹腔的影响高血压合并急性胰腺炎在猪模型.pdfVIP
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the effect of intra-abdominal hypertension incorporating severe acute pancreatitis in a porcine model腹腔的影响高血压合并急性胰腺炎在猪模型
The Effect of Intra-Abdominal Hypertension
Incorporating Severe Acute Pancreatitis in a Porcine
Model
Lu Ke, Zhi-hui Tong, Hai-bin Ni, Wei-wei Ding, Jia-kui Sun, Wei-qin Li*, Ning Li, Jie-shou Li
Department of General Surgery, Jinling Hospital, Nanjing University, School of Medicine, Nanjing, China
Abstract
Introduction: Abdominal compartment syndrome (ACS) and intra abdominal hypertension(IAH) are common clinical
findings in patients with severe acute pancreatitis(SAP). It is thought that an increased intra abdominal pressure(IAP) is
associated with poor prognosis in SAP patients. But the detailed effect of IAH/ACS on different organ system is not clear.
The aim of this study was to assess the effect of SAP combined with IAH on hemodynamics, systemic oxygenation, and
organ damage in a 12 h lasting porcine model.
Measurements and Methods: Following baseline registrations, a total of 30 animals were divided into 5 groups (6 animals
in each group): SAP+IAP30 group, SAP+IAP20 group, SAP group, IAP30 group(sham-operated but without SAP) and sham-
operated group. We used a N2 pneumoperitoneum to induce different levels of IAH and retrograde intra-ductal infusion of
sodium taurocholate to induce SAP. The investigation period was 12 h. Hemodynamic parameters (CO, HR, MAP, CVP), urine
output, oxygenation parameters(e.g., S O , PO , PaCO ), peak inspiratory pressure, as well as serum parameters (e.g., ALT,
v 2 2 2
amylase, lactate, creatinine) were recorded. Histological examination of liver, intestine, pancreas, and lung was performed.
Main Results: Cardiac output significantly decreased in the SAP+IAH animals compared with other groups. Furthermore,
AST, creatinine, SUN and lactate showed similar increasing tendency paralleled with profoundly decrease
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