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氟烷麻醉对犬心肌收缩力、冠状动脉及全身血流动力学以及心肌代谢的影响。

Effects of halothane anesthesia on myocardial contractility, coronary as well as systemic hemodynamics, and myocardial metabolism in dogs.

作者信息

Saito T, Okazaki K, Ohta N, Sakata S, Tanaka Y

出版信息

Recent Adv Stud Cardiac Struct Metab. 1976;11:467-71.

PMID:1031946
Abstract

Halothane depressed coronary and other systemic circulations as arterial halothane concentration rose in dogs. Myocardial oxygen consumption decreased as the cardiac action, especially "myocardial contractility", was depressed, while the whole-body oxygen usage remained steady. Lactate and pyruvate levels in arterial, mixed venous, and coronary venous blood did not show any signs of tissue hypoxia or development of anaerobic metabolism even in very deep halothane anesthesia. Coronary blood flow seemed well maintained for the demand, and changed almost in parallel with the myocardial oxygen consumption during the observation.

摘要

在犬类中,随着动脉血中氟烷浓度升高,氟烷会抑制冠状动脉及其他体循环。由于心脏活动,尤其是“心肌收缩力”受到抑制,心肌耗氧量降低,而全身氧气消耗保持稳定。即使在深度氟烷麻醉状态下,动脉血、混合静脉血和冠状静脉血中的乳酸和丙酮酸水平也未显示出任何组织缺氧或无氧代谢发展的迹象。在观察期间,冠状动脉血流量似乎能很好地满足需求,并且几乎与心肌耗氧量平行变化。

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