Matsumoto Y, Tada F, Sakata S
Department of Anesthesia, Takamatsu Red Cross Hospital.
Masui. 1999 Apr;48(4):356-61.
Mongrel dogs were divided into a neuroleptanesthesia group (n = 10) and a pentobarbital group (neuroleptanesthesia plus pentobarbital; n = 10). The dogs were subjected to stepwise hemorrhage increasing from 30 to 40 and 50 ml.kg-1. In the neuroleptanesthesia group, mean arterial pressure, and cerebral and coronary blood flow decreased. Furthermore the oxygen and hydrogen ion balance in both the brain and the myocardium was aggravated, even at 30 ml.kg-1 of hemorrhage. Compared to the neuroleptanesthesia group, mean arterial pressure, and cerebral and coronary blood flow showed a greater decrease, cerebral oxygen consumption was lower, and the brain and myocardial metabolism worsened similarly at equivalent hemorrhage in the pentobarbital group. These results suggest that pentobarbital in combination with neuroleptanesthesia reduces cerebral oxygen consumption, but does not improve cerebral metabolism in the state of acute hemorrhage due to simultaneous induction of severe circulatory depression.
杂种犬被分为神经安定麻醉组(n = 10)和戊巴比妥组(神经安定麻醉加戊巴比妥;n = 10)。对犬进行逐步放血,放血量从30增加到40和50 ml.kg-1。在神经安定麻醉组中,平均动脉压以及脑和冠状动脉血流量下降。此外,即使在放血30 ml.kg-1时,脑和心肌中的氧和氢离子平衡也会恶化。与神经安定麻醉组相比,戊巴比妥组在等量放血时平均动脉压、脑和冠状动脉血流量下降幅度更大,脑氧耗更低,脑和心肌代谢同样恶化。这些结果表明,戊巴比妥与神经安定麻醉联合使用可降低脑氧耗,但由于同时诱发严重循环抑制,在急性出血状态下并不能改善脑代谢。