概括
暴露于寒冷会在体内激活kallikrein-kinin系统. 心脏手术期间的严重低温显著增加了循环中的布拉迪基宁水平,表明寒冷和这种炎症媒介之间存在直接联系.
科学领域:
- 心血管科学 心血管科学
- 生理学 生理学 生理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 众所周知,kallikrein-kinin系统 (KKS) 在体外被寒冷激活.
- 它在体内对低温的反应,特别是在手术过程中,仍然不太了解.
研究的目的:
- 为了研究KKS在人体体内因感冒而激活的活体激活.
- 在小儿心脏手术患者的诱导性低温期间测量循环布拉迪基宁度.
主要方法:
- 血样中的布拉迪基尼尼和布拉迪基尼诺基因的连续放射性免疫测定测量.
- 对接受心脏整形手术的患者进行监测,这些患者患有严重的低温 (18°C) 和心肺旁路术.
- 低温手术前,期间和之后的分析剂水平的比较.
主要成果:
- 随着体温的下降,循环布拉迪基宁度的显著增加被观察到.
- 同时,循环中的布拉迪基尼诺基因水平下降,这表明前体消费.
- 在开始心肺旁路术时,布拉迪基宁的水平进一步升高,这表明清除率降低.
结论:
- 这项研究提供了第一个体内证据,即低温会激活kallikrein-kinin系统.
- 这些发现突出了对寒冷的生理反应,这对接受低温手术的患者的管理有意义.
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