AIM To investigate the role of tumor necrosisfactor(TNF)in lung injury during acutenecrotizing pancreatitis(ANP),and thetherapeutic effect of'Tong Xia'purgativemethod in minimizing the severity of lung injury....AIM To investigate the role of tumor necrosisfactor(TNF)in lung injury during acutenecrotizing pancreatitis(ANP),and thetherapeutic effect of'Tong Xia'purgativemethod in minimizing the severity of lung injury.METHODS Fourteen canines were randomlydivided into 3 groups:the'Tong Xia'treatmentgroup(n = 5)using Dachengqitang;salinecontrol group(n = 5),and the sham operationgroup(n = 4).TNF activity in serum and inbronchoalveolar lavage fluid(BALF),the serumendotoxin levels were measured,and theseverity of lung injury evaluated.RESULTS Elevation of TNF activity was moreprominent in BALF than in serum.TNF activity inserum at 6 and 12 hours and in BALI:wassignificantly decreased in the'Tong Xia'treatment group than in the saline control one(q=21.11,q=12.07,q=9.03,respectively,P【0.01)and the lung injury was significantlyalleviated at 12 hours as compared with that inthe saline group,manifested as amelioration otthe lung wet/ dry weight ratio,decrease inprotein concentration and neutrophils count inBALF,and improvement of pulmonaryinflammatory changes.A positive correlationwas demonstrated between serum TNF activity and endotoxin level.CONCLUSION Hypersecretion of TNF is shownto be one of the major causes of lung injuryduring ANP;'Tong Xia'purgative method couldalleviate the degree of lung injury mediated byTNF.展开更多
INTRODUCTIONAcute pancreatitis (AP) is a common severe illness of the digestive tract with variable involvement of other regional tissues and / or remote organ sysems[1-3],Mild disease is associated with minimal org...INTRODUCTIONAcute pancreatitis (AP) is a common severe illness of the digestive tract with variable involvement of other regional tissues and / or remote organ sysems[1-3],Mild disease is associated with minimal organ dysfunction and rapid recovery ,while severe disease is associated with multiple organ system failure and local complications such as necrosis , abscess , fistulas and pseudocyst formation [4-6].展开更多
INTRODUCTIONAs stated in the author’s previous articles,severe acute pancreatitis is a multifacetted diseasewith rapid and sometimes fulminating onset and mayresult in many serious complications or even death iftreat...INTRODUCTIONAs stated in the author’s previous articles,severe acute pancreatitis is a multifacetted diseasewith rapid and sometimes fulminating onset and mayresult in many serious complications or even death iftreatment is improper or delayed.Therapeuticmeasures must be directed against these展开更多
AIM To observe the protective effect of combined i.v. administration of Yuanhu injection (YHI) and Huoxuehuayu injection I (HHI I) against acute pancreatitis (AP) in rabbits. METHODS Severe acute pancreatitis...AIM To observe the protective effect of combined i.v. administration of Yuanhu injection (YHI) and Huoxuehuayu injection I (HHI I) against acute pancreatitis (AP) in rabbits. METHODS Severe acute pancreatitis (SAP) was induced by retrograde infusion of artificial bile juice into biliary pancreatic duct, and treated with YHI and HHI I intravenously. The protective effect was judged by the survival time and rate, serum amylase, serum interleukin 6, pancreatic microcirculation and pathological alteration. RESULTS Combined use of YHI and HHI I could markedly increase the rabbits′ 5 day survival rate after AP (83 3% in the treatment group and 33 3% in control). The serum amylase value ( ±s ) decreased to 1596 6U/L ± 760 50U/L in the 5th day from the high level ( 6320 83U/L ± 2614 12U/L ) in the 1st day after AP in the treatment group, while in the control group the amylase activity in the 5th day was 2095 0U/L ± 1081 87U/L , being significantly different from that before AP ( 837 17U/L ± 189 12U/L ). YHI and HHI I also obviously improved the pancreatic microcirculation and lowered the serum interleukin 6 level, one of the indices of severe pancreatitis. Pathological examination indicated all the changes typical for AP in YHI and HHI I treatment group were milder than those in the control. CONCLUSION YHI and HHI I used in combination might have protective effect against acute pancreatitis in rabbits.展开更多
INTRODUCTIONOf the three cardinal manifestations of chronic pancreatitis-pain,diabetes mellitus and steatorrhea,it is pain thatbrings the patient to the physician and is the most difficultto manage.The intractabale pa...INTRODUCTIONOf the three cardinal manifestations of chronic pancreatitis-pain,diabetes mellitus and steatorrhea,it is pain thatbrings the patient to the physician and is the most difficultto manage.The intractabale pain that is quite展开更多
基金the"8th 5-year Plan"of National Administration Bureau of Traditional Chinese Medicine and Pharmacy,No.H09301
文摘AIM To investigate the role of tumor necrosisfactor(TNF)in lung injury during acutenecrotizing pancreatitis(ANP),and thetherapeutic effect of'Tong Xia'purgativemethod in minimizing the severity of lung injury.METHODS Fourteen canines were randomlydivided into 3 groups:the'Tong Xia'treatmentgroup(n = 5)using Dachengqitang;salinecontrol group(n = 5),and the sham operationgroup(n = 4).TNF activity in serum and inbronchoalveolar lavage fluid(BALF),the serumendotoxin levels were measured,and theseverity of lung injury evaluated.RESULTS Elevation of TNF activity was moreprominent in BALF than in serum.TNF activity inserum at 6 and 12 hours and in BALI:wassignificantly decreased in the'Tong Xia'treatment group than in the saline control one(q=21.11,q=12.07,q=9.03,respectively,P【0.01)and the lung injury was significantlyalleviated at 12 hours as compared with that inthe saline group,manifested as amelioration otthe lung wet/ dry weight ratio,decrease inprotein concentration and neutrophils count inBALF,and improvement of pulmonaryinflammatory changes.A positive correlationwas demonstrated between serum TNF activity and endotoxin level.CONCLUSION Hypersecretion of TNF is shownto be one of the major causes of lung injuryduring ANP;'Tong Xia'purgative method couldalleviate the degree of lung injury mediated byTNF.
文摘INTRODUCTIONAcute pancreatitis (AP) is a common severe illness of the digestive tract with variable involvement of other regional tissues and / or remote organ sysems[1-3],Mild disease is associated with minimal organ dysfunction and rapid recovery ,while severe disease is associated with multiple organ system failure and local complications such as necrosis , abscess , fistulas and pseudocyst formation [4-6].
文摘INTRODUCTIONAs stated in the author’s previous articles,severe acute pancreatitis is a multifacetted diseasewith rapid and sometimes fulminating onset and mayresult in many serious complications or even death iftreatment is improper or delayed.Therapeuticmeasures must be directed against these
文摘AIM To observe the protective effect of combined i.v. administration of Yuanhu injection (YHI) and Huoxuehuayu injection I (HHI I) against acute pancreatitis (AP) in rabbits. METHODS Severe acute pancreatitis (SAP) was induced by retrograde infusion of artificial bile juice into biliary pancreatic duct, and treated with YHI and HHI I intravenously. The protective effect was judged by the survival time and rate, serum amylase, serum interleukin 6, pancreatic microcirculation and pathological alteration. RESULTS Combined use of YHI and HHI I could markedly increase the rabbits′ 5 day survival rate after AP (83 3% in the treatment group and 33 3% in control). The serum amylase value ( ±s ) decreased to 1596 6U/L ± 760 50U/L in the 5th day from the high level ( 6320 83U/L ± 2614 12U/L ) in the 1st day after AP in the treatment group, while in the control group the amylase activity in the 5th day was 2095 0U/L ± 1081 87U/L , being significantly different from that before AP ( 837 17U/L ± 189 12U/L ). YHI and HHI I also obviously improved the pancreatic microcirculation and lowered the serum interleukin 6 level, one of the indices of severe pancreatitis. Pathological examination indicated all the changes typical for AP in YHI and HHI I treatment group were milder than those in the control. CONCLUSION YHI and HHI I used in combination might have protective effect against acute pancreatitis in rabbits.
文摘INTRODUCTIONOf the three cardinal manifestations of chronic pancreatitis-pain,diabetes mellitus and steatorrhea,it is pain thatbrings the patient to the physician and is the most difficultto manage.The intractabale pain that is quite
