Jostarndt L, Richter H, Tichai I, Thermann M
Langenbecks Arch Chir. 1976;Suppl:43-7.
Elevated intraluminal pressure of rabbit small bowel induces a decrease of tissue pO2 of the bowel wall dependent on the applied pressure. After decompression local pO2 exceeds the initial pO2 values. While the i.v. application of 25 microgram/kg glucagon is not able to improve local oxygen supply of the distended bowel, local pO2 increases considerably after infusion of 7.5 ml/kg dextran 40. Decompression by operation or intestinal tube as well as application of dextran 40 are recommended in the treatment of ileus.
兔小肠腔内压力升高会导致肠壁组织氧分压降低,且这种降低与所施加的压力相关。减压后局部氧分压超过初始氧分压值。虽然静脉注射25微克/千克胰高血糖素无法改善扩张肠段的局部氧供应,但输注7.5毫升/千克右旋糖酐40后局部氧分压会显著升高。在肠梗阻治疗中,建议通过手术或肠管进行减压以及应用右旋糖酐40。