[Clinical abservations of pulmonary surfactant' s autologous transfusion in massive lung lavage].

Objective: Investigate the pulmonary surfactant autotransfusion effect on the recovery of respiratory function in patients with whole lung lavage, to provide theoretical basis for the clinical application. Methods: We taken 30 patients of pneumoconiosis treated by whole lung lavage as the subjects. We extracted the pulmonary surfactant from lavage fluid, after single postoperative lung lavage for the first time; after one weeks when the second times of lung lavage were performed to the other side of the lung of patients, we put PS into the right side. We taken the patients the second times of lung lavage who were put PS into the right side as returning group, the first times of lung lavage who were not put PS into as on returning group. We observed indi-cators, such as expiratory resistance, respiratory work, lung compliance, airway pressure, PO(2), the pulmonary function recovery time and other indicators, comparing with the changes of pulmonary function before lung la-vage for the first time and at 0、60、90、120 min after the pulmonary surfactant autotransfusion. Results: Com-pared with the no returning group, the expiratory resistance of the returning group decreased significantly at 90 min、120 min after the pulmonary surfactant autotransfusion; the respiratory work and airway pressure of the re-turning group decreased significantly at 60、90、120 min after the pulmonary surfactant autotransfusion, there was statistically significant in the difference between different groups (P<0.05, P<0.01). Compared with the no returning group, the lung compliance and the PO(2) of the returning group increased significantly at 60 min、90 min、120 min after the pulmonary surfactant autotransfusion, there was statistically significant in the difference between different groups (P<0.05, P<0.01). The lung function recovery time of returning group was (155.7 ± 35.2) min, the lung function recovery time of no returning group was (183.71±41.81) min, there was statistical-ly significant in the difference between different groups (P<0.05). Compared with the no returning, there were not statistically significant in the difference of the Heart rate、the systolic blood pressure and the diastolic blood pressure about the returning at 60、90、120 min after the pulmonary surfactant autotransfusion.There was no ad-verse reactions such as pulmonary infection, pulmonary infection and so on. Conclusion: The pulmonary surfac-tant autotransfusion may reduce expiratory resistance, work of breathing, airway pressure; improve lung compliance, alveolar ventilation function; increase oxygen partial pressure and decrease the surgery recovery time in patients with pneumoconiosis.

[Effects of mineral dust on generation of superoxide radicals and hydrogen peroxide by alveolar macrophages, granulocytes and monocytes]. / Vliianie mineral'nykh pylei na generatsiiu superoksidnykh radikalov i perekisi vodoroda al'veoliarnymi makrofagami, granulotsitami i monotsitami.

Phagocytosis of quartz dust by alveolar macrophages and monocytes of rabbits and human monocytes and granulocytes is accompanied by stimulation of substrateless recovery of nitroblue tetrazolium to formazan. It reflects activation of oxygen-dependent bactericidal phagocyte system and generation of active oxygen forms. Less fibrogenic and cytotoxic dust of aluminium oxide increased formazan formation insignificantly. Extracellular generation of superoxide radicals and hydrogen peroxide was not discovered during phagocytosis of quartz by alveolar macrophages and monocytes. Incubation of human granulocytes with silica caused, on contrary, considerable increase in exogenous generation of superoxide radicals and hydrogen peroxide. Less fibrogenic dust of aluminium oxide under the conditions had no effect on generation of hydrogen peroxide and induced acute decrease in generation of superoxide radicals by granulocytes. The obtained results testify both to the essential part of active oxygen form during pathologic processes with pneumoconiosis, and also to a great similarity among biochemical processes, characterizing interaction of alveolar macrophages and monocytes with mineral dust.

[Effect of methionine, retinol, tocopherol and pyridoxine on fibrogenesis in the lungs and vitamin metabolism in rats in an anthracosis model]. / Vliianie metionina, retinola, tokoferola i piridoksina na fibrogenez v legkikh i metabolizm vitaminov u krys s model'iu antrakoza.

It has been discovered in rat experiments that the diet containing an additional amount of methionine and pyridoxine and optimal quantity of fat favoured to a certain degree the retardation of the development of pulmonary fibrosis and reduced the disorders in metabolism of vitamins, characteristic for animals with experimental anthracosis. On the contrary, introduction of an additional amount of retinol into the above complex aggravated the development of pulmonary fibrosis and alterations in vitamin metabolism. At the same time the negative manifestations seen in the animals with experimental anthracosis were removed to a certain measure by administering additional doses of vitamin E.