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Effect of pentoxifylline and indomethacin on rabbits with endotoxin induced disseminated intravascular coagulation (DIC) and comparison with heparin
We evaluated the effects of pentoxifylline and indomethacin and heparin in a rabbit model of disseminated intravascular coagulation (DIC) induced by infusion of 100 µg/kg/hour of Escherichia coli endotoxin lipoplysaccharide (LPS) for 6 hour. Heparin, indomethacin, pentoxifylline or saline were administered simultaneously with LPS. In addition, a control group was formed which was administered only saline. Hemostatic markers at 0, 1/2, 2, and 6 hour as well as histopathologic changes in the organs and the mortality at 24 hour were determined. The infusion of LPS caused a severe impairment in hemostasis and fibrin accumulation in the pulmonary vasculature. Heparin significantly improved hemostatic impairment and reduced the fibrin accumulation in the pulmonary vasculature. Pentoxifylline and indomethacin had no significant effect on DIC, except that pentoxifylline prevented the decrement in platelet count slightly (p< 0.05). None of the drugs, including heparin, had any effect on mortality. As a result, the prevention of the synthesis of only one cytokine or autocoid is not considered enough to control the results of endotoxemia.

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Authors: Burhan Turgut, Özden Vural, Muzaffer Demir, Kemal Kutlu, Ramazan Kayapınar

Keywords: YDP, Endotoksin, indometazin, Pentoksifilin, Heparin.

  • Year: 2006
  • Number: 1
  • Referance No: 70897
  • Figure 1. The change in PT over time in the LPS and treatment groups. The p value indicates the difference from the LPS group.
  • Figure 2. The change in aPTT over time in the LPS and treatment groups. The p value indicates the difference from the LPS group.
  • Figure 3. The change in fibrinogen plasma level over time in the LPS and treatment groups. The P value indicates the difference from the LPS group.
  • Figure 4. The change in platelet count over time in the LPS and treatment groups. The p value indicates the difference from the LPS group.
  • Figure 5. The number of rabbits with fibrin accumulation in the pulmonary vasculature in the LPS and treatment groups. The p value indicates the difference from the LPS group.

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