Publication: Biochemical and histopathological
changes in the mortality caused by
acute ischemic limb injury: a rabbits' model
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Date
1998
Authors
Sun, J. S. ; Tsuang, Y. H. ; Lu, F. J. ; Lu, K. S. ; Hang, Y. W.
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Publisher
F. Hernández y Juan F. Madrid. Universidad de Murcia: Departamento de Biología Celular e Histología
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DOI
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info:eu-repo/semantics/article
Description
Abstract
Restoration of blood flow to an acute
ischemic extremity may deteriorate the ischemic injury,
lead to multiple organ dysfunction or even death. This
paradox of continuing injury during reperfusion is not
completely understood. The role of multi-organ damage
in the mortality caused by ischemic limb injury is also
still not clarified. The purpose of this study is to
determine the biochemical and histopathological
changes in the mortality caused by ischemic limb injury.
After anesthesia, the hindlimbs of 14 New Zealand
white rabbits were made ischemic and set into 8 hours or
12 hours of ischemia. Blood samples were obtained then
the creatine kinase (CK) levels were determined and CK
isoenzymes analyzed. All rabbits with 8 hours' ischemia
survived well , and 5 of the 7 rabbits with 12 hours'
ischemia expired within 8 hours after reperfusion. CK
elevation was correlated most strongly with the time of
the ischemic insults. The percentage of CK-MB
isoenzyme remained unchanged after 8 hours' ischemiareperfusion insult, while increased significantly after
12 hours' ischemia-reperfusion insult. Histologic
examinations showed that the major systemic
manifestation was massive destruction of the liver and
kidney. The injuries are more obvious in areas with the
greatest blood flow during reperfusion. We concluded
that the ratio of CK-MB isoenzyme is most useful for
distinguishing the risk of mortality caused by acute
ischemic limb injury, and the cause of systemic
complications are attributed to the multi-organ failure .
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Citation
Histology and histopathology, Vol. 13 nº 1 (1998)
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