Mechanisms of multiple organ damages in acute necrotizing pancreatitis
10.3760/j.issn:0366-6999.2001.07.017
- VernacularTitle:急性坏死性胰腺炎多器官损伤的机制研究
- Author:
Qunhua ZHANG
1
;
Quanxing NI
;
Duan CAI
;
Yanling ZHANG
;
Niu ZHANG
;
Landi HOU
Author Information
1. Huashan Hospital Affiliated to Shanghai Medical University
- Keywords:
acute necrotizing pancreatitis;
multiple organ;
damages;
treatment
- From:
Chinese Medical Journal
2001;114(7):738-742
- CountryChina
- Language:Chinese
-
Abstract:
Abstract:Objective To determine the role of systemic inflammatory response syndrome (SIRS) and multiple organ dysfunction syndrome (MODS), and evaluate the progress from SIRS to MODS and the therapeutic strategies for acute necrotizing pancreatitis (ANP).Methods Rat ANP models were made by retrograde injection of 3.5% sodium taurocholate 2.5?ml/kg into the pancreatic duct. Serum interleukin-8 (IL-8), interleukin-6 (IL-6), interleukin-10 (IL-10), tumor necrosis factor-α (TNFα), amylase, endotoxin, and albumin were examined. The morphology and pathology of the pancreas, liver, lung, kidney and heart after ANP were observed. Finally, TNFα mRNA in the liver, lung, kidney and heart after ANP were observed by reverse transcriptase-polymerase chain reactions, and the efficiency of somatostatin and growth hormone were also observed in this experiment.Results ANP led to remarkable elevation of the inflammatory mediators which were positively correlated with the development of ANP and MODS. Somatostatin and growth hormone inhibited inflammatory mediators and TNFα mRNA overexpressions, reduced the risk of MODS, corrected hypoalbuminemia, reversed negative nitrogen balance, and controlled the reduction of cell groups with functions and reasonably intervened SIRS caused by ANP.Conclusion TNFα mRNA plays an important role in ANP progression. The amelioration of ANP by combination treatment with somatostatin and growth hormone leads to the reduction of complications and marked increase in survival.
