家兔实验性氟乙酰胺中毒的病理学研究
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摘要
选用健康家兔20只,随机分为四组,每组5只。Ⅰ组为对照组,Ⅱ、Ⅲ、Ⅳ组中毒剂量分别为1.5mg/kg、2.0mg/kg、10.0mg/kg.各中毒组家兔死亡前采集尿液做亚硝酸盐、pH值等项目的检测;心脏采血,作血常规及血清生化指标的检查;末梢血涂片做淋巴细胞的酸性α-醋酸萘酯酶染色;死亡的家兔剖检,观察其病理解剖学变化并从心脏、肝脏、肾脏等组织分别取材、固定、制片,进行光镜及透射电镜观察。剩余家兔在中毒后第三天全部捕杀剖检,按同样方法取材、固定、制片,进行光镜及透射电镜观察。
     实验结果表明:(1)各中毒组家兔死亡时间不同,临床症状基本相同或相似,主要是神经症状,剖检变化无明显差异,主要是消化道粘膜脱落,心脏、肝脏等实质器官肿大、充血、淤血。(2)中毒后第Ⅲ、Ⅳ组的组织学变化主要是退行性变化,组织细胞以变性、肿胀为主,而第Ⅱ组组织细胞的坏死比较广泛,有坏死灶形成,组织中有细胞增生。(3)第Ⅱ组中毒家兔的部分组织的超微结构有明显变化。心肌纤维、肝细胞及脑神经细胞线粒体肿胀、嵴溶解消失;内质网扩张、脱颗粒;大脑神经纤维突触肿胀、突触小泡溶解及神经细胞胞浆溶解。(4)中毒后,血红蛋白含量及红细胞数明显减少,淋巴细胞增加;血清天门冬氨酸氨基转移酶、丙氨酸氨基转移酶、肌酸激酶、乳酸脱氢酶活性增强,肌酐、尿素含量升高;尿液pH值降低;尿中葡萄糖、蛋白质、血红蛋白、尿胆素原含量升高。(5)肠系膜淋巴结及外周血液中有标志的T淋巴细胞减少。(6)十二指肠肠腺及肠粘膜碱性磷酸酶活性增强。
     本研究结果证实,家兔氟乙酰胺中毒能引起脑组织、肝脏、心脏、肾脏以及胃肠等多器官的损害,并且损害机体的免疫机能。
Experiment were conducted with 20 rabbits to explore the histopathologic changes in fluoroacetamide poisoning.
    20 rabbits were randomly divided into 4 groups, 5 in each. Group ] was used as normal control.Group II .III and I\ were respectively poured fluoroacetamide on the dose of 1.5mg/kg.2.0 mg/kg and 10.0 mg/kg .Blood and urine samples of dying rabbits were collected to examine some biochemical items. Daubed ears' blood on contact glasses to examine T lymphocyte. Died rabbits were dissected immediate!)', the heart, liver and kidney etc were sampled, the histochemistry methods were carried out on all collected tissues after fixation. The results showed as follows: (DRabbits of poisoning groups died in different period .but the clinical symptom was similar. Nervous symptom was the main manifestation. The changes of poisoning rabbits dissected were also alike, they were all showed shedding of mucous membrane of digestive tract, enlargement , congestion and hemorrhage of liver, heart and kidney etc. (2) The histopathologic changes of poisoning rabbits in group III and R mainly were degeneration and swelling of cells in parenchymatous tissue, however in group II,cells7 necrosis and hyperplasia were more obvious than in group III and IV .(3) The content of hemoglobin and the number of R.B.C in poisoning groups were lower than in normal control, while the total of lymphocyte was higher. Activities of AST.ALT.CK,LDH and the content of Creatinine and Uream in serum were higher in poisoning groups than in normal control. In poisoning groups the pH of urine were lowed, meanwhile the content of glucose, protein, hemoglobin and urobilinogen were raised. (4) Lymphocyte with sign in peripheral blood
    
    
    
    and lymphadenitis of mesentery were fewer after poisoning. (5) Activities of AKP in mucous membrane and crypt of duodenum were higher in treatment group than in normal control.
    The result revealed that fluoroacetamide poisoning could injure brain, heart, liver, kidney and etc tissues.
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