EFFECT OF SURGERY ON THE SYSTEMIC INFLAMMATORY RESPONSE TO INTERMITTENT CLAUDICATION

被引:42
作者
HICKEY, NC [1 ]
GOSLING, P [1 ]
BAAR, S [1 ]
SHEARMAN, CP [1 ]
SIMMS, MH [1 ]
机构
[1] SELLY OAK HOSP,DEPT BIOCHEM,BIRMINGHAM B29 6JD,ENGLAND
关键词
albuminuria; Ischaemia; neutrophils;
D O I
10.1002/bjs.1800771015
中图分类号
R61 [外科手术学];
学科分类号
摘要
The hypothesis that intermittent claudication initiates a systemic inflammatory response was investigated by studying the effect of exercise on markers of neutrophil activation and vascular permeability in 25 claudicants and 10 controls. Urinary albumin excretion, previously demonstrated to reflect vascular permeability, increased significantly after exercise in claudicants and was associated with decreased neutrophil fllterability and increased serum lysozyme activity. No similar exercise‐induced changes were seen in controls or in claudicants after successful arterial bypass surgery. These results suggest that intermittent claudication is associated with potentially deleterious systemic manifestations that are surgically reversible. Copyright © 1990 British Journal of Surgery Society Ltd.
引用
收藏
页码:1121 / 1124
页数:4
相关论文
共 25 条
[1]   REPERFUSION OF ISCHEMIC LOWER-LIMBS INCREASES PULMONARY MICROVASCULAR PERMEABILITY [J].
ANNER, H ;
KAUFMAN, RP ;
VALERI, CR ;
SHEPRO, D ;
HECHTMAN, HB .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1988, 28 (05) :607-610
[2]  
BAGGIOLINI M, 1982, ADV INFLAMMAT RES, V3, P313
[3]   THE ISCHEMIC LEG AS A SOURCE OF COMPLEMENT ACTIVATION [J].
BENGTSON, A ;
HOLMBERG, P ;
HEIDEMAN, M .
BRITISH JOURNAL OF SURGERY, 1987, 74 (08) :697-700
[4]  
DIPERRI T, 1988, CLIN HEMORHEOL, V8, P737
[5]  
DORMANDY JA, 1986, VASCULAR SURGERY ISS, P3
[6]  
ERLANSSON M, 1987, INT J MICROCIRC, V6, P265
[7]   LEUKOCYTES AND THE RISK OF ISCHEMIC DISEASES [J].
ERNST, E ;
HAMMERSCHMIDT, DE ;
BAGGE, U ;
MATRAI, A ;
DORMANDY, JA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1987, 257 (17) :2318-2324
[8]  
FIDDIANGREEN RG, 1988, ANN ROY COLL SURG, V70, P128
[9]  
GOSLING P, 1988, ANN CLIN BIOCHEM, V25, pS150
[10]   ROLE OF THE ALTERED TRANSMURAL PERMEABILITY IN THE PATHOMECHANISM OF ARTERIOSCLEROSIS .1. HISTORY OF ARTERIOSCLEROSIS THEORIES [J].
JELLINEK, H ;
DETRE, Z .
PATHOLOGY RESEARCH AND PRACTICE, 1986, 181 (06) :693-712