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乙醚麻醉和体表降温对局部血流的影响。

Effects of ether anesthesia and surface-induced hypothermia on regional blood flow.

作者信息

Su J Y, Amory D W, Sands M P, Mohri H

出版信息

Am Heart J. 1979 Jan;97(1):53-60. doi: 10.1016/0002-8703(79)90114-5.

Abstract

Regional blood flow and distribution of cardiac output (CO) were evaluated by the radioactive microsphere technique in seven rhesus monkeys prior to anesthesia, following the induction of deep ether anesthesia and throughout the cooling course during surface-induced hypothermia to temperatures of 20 degrees C. As given, deep ether anesthesia alone significantly decreased CO 10% to 15% and output fraction (Qt) was decreased to the carcass, increased to the splanchnic circulation (although not statistically significant), and unchanged to other organs, while total vascular (TVR) and organ resistances were reduced. With the addition of cooling, CO progressively decreased. Individual organ Qt's, however, did not change from anesthetized normothermic values; thus organ flows decreased parallel to the reduction of CO as cooling progressed. TVR and organ vascular resistances increased to levels in excess of 150% of anesthetized precooling values, apparently as the result of viscosity rather than vascular changes.

摘要

在七只恒河猴中,通过放射性微球技术评估了麻醉前、深度乙醚麻醉诱导后以及在体表诱导性低温至20摄氏度的整个降温过程中的局部血流和心输出量(CO)分布。结果表明,仅深度乙醚麻醉就使CO显著降低10%至15%,输出分数(Qt)降低至躯体,增加至内脏循环(尽管无统计学意义),而其他器官则无变化,同时总血管阻力(TVR)和器官阻力降低。随着降温的进行,CO逐渐降低。然而,各个器官的Qt与麻醉常温值相比没有变化;因此,随着降温的进展,器官血流量与CO的降低平行下降。TVR和器官血管阻力增加至麻醉前降温值的150%以上,这显然是由于粘度而非血管变化所致。

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