[Leukocyte status during the surgical treatment of focal pancreonecrosis using a plasma scalpel].
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Biomedical subjects
Publications and source records attributed to M I Ul'ianov.
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Two series of experiments were carried out on dogs. In the first series, blood leukocytes count was studied after resection of the pancreas using plasma scalpel. The resection caused two-phase leukocyte reaction: neutrocytosis (phase I) and leukocytosis involving mainly lymphocytes and monocytes (phase II). During the first 24 hours after the resection, a sharp increase of the leukocyte intoxication index (LII) was observed. The second series of experiments was performed using the combination of plasma scalpel and cryodestruction. The graphic curves denoted a sharp fall both in total leukocytic counts and in the different types of leukocytes which were plotted separately (neutrophils, eosinophils, etc.) This can be explained by the absence of the second (lympho-monocyte) reaction. Only a slight increase in LII occurred. These results reflect lower degree of the protection and adaptation reactions of leukocytes, this being in favor of a combination of plasma scalpel and cryodestruction during the operation.
The resection of liver was undertaken in two series of experiments in rabbits with plasma and steel scalpels for comparison. After the interventions the haematological changes of stress nature were observed in animals. The changes of leucocytic and erythrocytic pictures and myelograms were more important and steady when the resections was made with plasma scalpel. The mentioned peculiarities must be taken into consideration in analysis of laboratory examinations in the clinic.
The local application of plasma flow to postsurgery wounds in rabbits has revealed accelerated wound healing, reduced perifocal inflammation, the appearance of great numbers of phagocytes and islands of epithelial cells in the wound and certain stimulation of hemopoietic body function. The suppression of free-radical oxidation was accompanied by the activation of the metabolic processes. All this justifies an attempt to apply "plasma methods" in the clinical practice for the treatment of long-healing wounds.
The clinical manifestations of toxemia and hemoconcentration were recorded in dogs in the early decompression period of the long-term crush syndrome. Hypermyoglobinemia and other fairly substantial biochemical shifts were discovered in the blood. During hemosorption with the use of coal adsorbents, the blood concentration of myoglobin, potassium and other ingredients was consistently reduced. Erythrocytosis caused by high hemoconcentration was noticed. There occurred redistributive leukopenia characteristic of hemosorption.
It has been shown in chronic experiments on dogs with reversible disorders of the coronary circulation that the sequels of a 3-5-minute reversible myocardial ischemia might be identified throughout 24-120 hours by an original method suggested by the authors. The method is based on the diagnosis of latent postischemic leukocytosis and other associated hematological shifts.
Tetracycline was administered orally in daily doses of 20 or 40 mg to 50 practically healthy male chinchilla rabbits weighing 2-2.5 kg. The thymus, appendage, spleen, ileocecal, mesenteric and axillary lymph nodes, bone marrow and peripheral blood were examined with the methods of morpho- cytometry. To verify the data the nonparametric criterion U of Wilcoxon-Mann-Whitny and the Student criterion were used. The mean curves reflecting the reaction level in the peripheral immunity system as a whole were plotted with the use of graphical analysis. It was found that tetracycline in doses of 20 and 40 mg induced a significant change in both the central and the peripheral immunity organs. Two trends in the development of the reaction in the system of immunogenesis were observed: (a) activation, transformation and differentiation of immunocompetent cells and (b) destruction of the cells, particular by transforming and proliferating cells. This gave rise to the depletion of the immunity system which was intensified if the drug was used for a prolonged period of time and in higher doses.
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Cyto- and histological analysis of the whole immunogenic system at the development of an acute experimental appendicitis in rabbits has demonstrated that all the constituent parts of the system are involved into the reaction. In the central organ of immunity--thymus the main change is its progressive exhaustion, while peripheral organs of immunity are subjected to rather essential cytological rearrangements and activation of both cellular and humoral immunity. Accordingly to the type of the reaction, two groups of peripheral organs of immunity can be distinguish: the first--the appendix and the iliocecal lymph node which predominantly participate in the immunoblastic reaction and in the reaction of young plasmatic cells and demonstrate increased signs of immature cells emigration; the second--the axillary lymph node, as a representative of somatic nodes, and the spleen--the main carriers of the reaction in mature plasmic cells. Structural peculiarities of the complex appendix--iliocecal lymph node in intact animals and in the experiment make it possible to consider the complex as a peculiar functional link of the immune peripheral organs.
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