Abstract | OBJECTIVE: To study the characteristics and pathogenesis of gut barrier damage following multiple firearm injuries in a porcine model. METHODS: Twenty-four small pigs were divided into 4 groups: control group (n = 6, group C), group H (n = 6, gunshot-induced tangential fracture of parietal bone), group L (n = 6, gunshot-induced comminuted fracture of bilateral femora) and group M (n = 6, combined group H + L). Gastric intramucosal pH (pHi), plasma endotoxin levels in portal vein, and plasma D- lactate levels were measured and blood samples were cultured at different intervals after trauma. The animals were sacrificed at 72 h following trauma and intestinal tissues were harvested for pathological examination and diamine oxidase (DAO) activity measurement. RESULTS: In group M at 72 h, pHi was significantly lower than that of group H and L ( P < 0.01), and plasma endotoxin level was significantly higher than that of group H (P < 0.01) and group L (P < 0.05). Simultaneously, in group M, D- lactate level was markedly higher than that of group H ( P < 0.01), and incidence of positive blood culture was much higher than that of group H and L ( P < 0.05). Necrosis and exfoliation were revealed at ileum villus top in all trauma groups, especially in group M, in which ileum DAO activity declined most significantly as well. CONCLUSION:
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Authors | Z Li, X Yang, L Lu, Y Yu, Y Yao |
Journal | Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih
(Chin Med Sci J)
Vol. 16
Issue 4
Pg. 209-13
(Dec 2001)
ISSN: 1001-9294 [Print] China |
PMID | 12903757
(Publication Type: Journal Article)
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Chemical References |
- Endotoxins
- Lactic Acid
- Amine Oxidase (Copper-Containing)
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Topics |
- Amine Oxidase (Copper-Containing)
(blood)
- Animals
- Bacterial Translocation
- Endotoxemia
(blood, etiology)
- Endotoxins
(blood)
- Femoral Fractures
(blood, etiology)
- Fractures, Comminuted
(blood, etiology)
- Gastric Mucosa
(metabolism)
- Hydrogen-Ion Concentration
- Lactic Acid
(blood)
- Multiple Trauma
(blood)
- Parietal Bone
(injuries)
- Swine, Miniature
- Wounds, Gunshot
(blood, complications)
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