Jesch F, Sunder-Plassmann L, Löhrs U, Messmer K
Anaesthesist. 1976 Jan;25(1):19-26.
Myocardial contractility was evaluated in 8 out of 14 anaesthetized mongrel dogs during haemorrhagic shock and after volume replacement with Dextran 60 using the force-velocity relation of the contractile elements at zero load (Vmax). 7 animals received 50,000 or 20,000 KIE respectively of a proteinase inhibitor after bleeding and immediately before and one hour after the infusion of Dextran 60. The release of the lysosomal enzymes acid phosphatase and beta-glucuronidase was inhibited significantly (p less than 0.05) in the animals treated with Trasylol. However, the inhibition of the lysosomal enzymes seems not to have a decisive influence on the dynamic of the macro- and microcirculation and the myocardial contractility.
在14只麻醉杂种犬中,对8只在失血性休克期间及用右旋糖酐60进行容量复苏后,利用零负荷时收缩成分的力-速度关系(Vmax)评估心肌收缩性。7只动物在出血后、输注右旋糖酐60之前即刻及之后1小时分别接受了50,000或20,000 KIE的蛋白酶抑制剂。用抑肽酶治疗的动物中,溶酶体酶酸性磷酸酶和β-葡萄糖醛酸酶的释放受到显著抑制(p<0.05)。然而,溶酶体酶的抑制似乎对大、微循环的动态以及心肌收缩性没有决定性影响。