DYNAMIC BALANCE CHANGES BETWEEN ELASTASE AND ANTIPROTEASE IN THE EARLY STAGES AFTER SMOKE-INHALATION INJURY

被引:2
作者
XIE, EF
LI, AN
YANG, ZC
JIANG, KY
机构
[1] Institute of Bum Research, Southwestern Hospital, Third Military Medical College, Chongqing
关键词
D O I
10.1016/0305-4179(92)90033-Q
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Following the use of a rabbit smoke inhalation injury model established in this institute, there were marked reductions in elastase activities in neutrophils and alveolar macrophages, rapid increases in elastase activity in broncho-alveolar lavage fluid (BALF), reductions of serum trypsin inhibitory capacity; a decrease of PaO2 and an increase of PaCO2, and marked increases of lung water volume. Significant correlations were found between the increased extravascular lung water content and the rising elastase activity in BALF. It seems probable that the imbalance between elastase and antiprotease played an important role in the development of acute lung injury after smoke inhalation.
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页码:362 / 367
页数:6
相关论文
共 17 条
[1]  
An, Li, Yang, Et al., Dynamic changes of platelet aggregation and serum fibrin degradation products after smoke inhalation injury in rabbits, J. Med. College PLA, 2, (1987)
[2]  
Boyum, Separation of blood leukocytes, granulocytes, and lymphocytes, Tissue Antigens, 4, (1974)
[3]  
Campbell, Senior, McDonald, Et al., Proteolysis by neutrophils, Relative importance of cell-substrate contact and oxidation in inactivation of proteinase inhibitors in vitro, 70, (1982)
[4]  
Chen, Xu, An experimental study on pathological changes of liver in dogs with smoke inhalation injury, Acad. J. Third Military Med. College PLA, 11, (1989)
[5]  
Dietz, Rubinstein, Hodges, Measurement of alpha<sub>1</sub>-antitrypsin in serum, by immunodiffusion and by enzymatic assay, Clin. Chem., 20, (1974)
[6]  
Gauthier, Fryksmark, Ohlsson, Et al., Kinetics of the inhibition of leukocyte elastase by the bronchial inhibitor, Biochim. Biophys. Acta, 700, (1982)
[7]  
Herndon, Traber, Niehaus, Et al., The pathophysiology of smoke inhalation injury in a sheep model, J. Trauma, 24, (1984)
[8]  
Levine, Senior, Buller, The elastase activity of alveolar macrophages: measurements using synthetic substrates and elastin, Am. Rev. Resp. Dis., 113, (1976)
[9]  
Noble, Severinghaus, Thermal and conductivity dilution curves for rapid quantitation of pulmonary edema, J. Appl. Physiol., 32, (1972)
[10]  
Ohlsson, Olsson, Neutral proteases of human granulocytes. III. Interaction between human granulocyte elastase and plasma protease inhibitors, Scand. J. Clin. Lab. Invest., 34, (1974)