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氟烷诱导的低血压和低碳酸血症对犬心肌血流量和氧消耗的联合作用。

The combined effect of halothane-induced hypotension and hypocapnia on canine myocardial blood-flow and oxygen consumption.

作者信息

Vance J P, Smith G, Thorburn J, Brown D M

出版信息

Br J Anaesth. 1975 Aug;47(8):825-9. doi: 10.1093/bja/47.8.825.

DOI:10.1093/bja/47.8.825
PMID:1201159
Abstract

In eleven intact mechanically ventilated dogs anaesthetized with pentobarbitone, mean arterial pressure was reduced to 55% of the control value by ventilating with 1-1.5% halothane. At normocapnia this resulted in decreases in myocardial blood-flow and oxygen consumption to 47% and 55% of their respective control values and an increase in myocardial vascular resistance to 123% of control value. When hypocapnia (mean PaCO2=26 mm Hg) was superimposed on hypotension, myocardial blood-flow was further decreased to 38% of control value whereas oxygen consumption did not alter significantly. When halothane was discontinued, allowing recovery from hypotension, the rate of recovery of myocardial blood-flow and cardiac output was much slower than that of arterial pressure.

摘要

在11只使用戊巴比妥麻醉的完整机械通气犬中,通过用1-1.5%的氟烷通气,平均动脉压降至对照值的55%。在正常二氧化碳分压时,这导致心肌血流量和氧耗分别降至各自对照值的47%和55%,心肌血管阻力增加至对照值的123%。当低碳酸血症(平均动脉血二氧化碳分压=26mmHg)叠加于低血压时,心肌血流量进一步降至对照值的38%,而氧耗无显著改变。当停用氟烷,使低血压恢复时,心肌血流量和心输出量的恢复速度比动脉压的恢复速度慢得多。

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