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静脉注射等渗和低渗含葡萄糖乳酸林格氏液对脱水小母牛的影响。

Effect of isotonic and hypotonic lactated ringer's solutions with dextrose intravenously administered to dehydrated heifers.

作者信息

Suzuki Kazuyuki, Okumura Junko, Abe Izumi, Iwabuchi Shigehiro, Kanayama Kiichi, Asano Ryuji

机构信息

Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, Kanagawa, Japan.

出版信息

J Vet Med Sci. 2002 Apr;64(4):335-40. doi: 10.1292/jvms.64.335.

Abstract

To determine the effects of rapid infusion of essential fluids in a volume of hypotonic lactated Ringer's solution, the central venous pressure (CVP) and acid-base equilibrium were investigated in to mildly dehydrated heifers. Mild dehydration was induced in 9 Holstein heifers by withholding food and water until 7.0+/-5.7% of plasma volume had been lost. The heifers were randomly assigned to the ILG (lactated Ringer's + 5% dextrose), HLG (1/2 lactated Ringer's + 2.2% dextrose) or HRG (1/2 Ringer's + 2.5% dextrose) groups with 3 heifers in each group. Heifers received 30 ml/kg of one of the fluids, at a flow rate of 20 ml/kg/hr. The rapid intravenous (IV) infusions of HLG and HRG used in this study were found to be safe and effective in increasing plasma volume without increasing CVP, even though the infusion was given to the jugular vein at a dosage of 30 ml/kg. However, ILG infusion induced progressive increases in CVP, reaching 9.0+/-2.0 mmHg. No clinical signs, such as moist rales on auscultation, moist cough, jugular vein congestion, ophthalmoptosis, salivation or arrhythmia, were observed throughout the fluid infusion. The relative changes in base excess (rBE) for the ILG and HRG groups were significantly decreased until the end of fluid infusion. As for the HLG group, rBE slightly decreased until the end of the fluid infusion. Then the values significantly increased and exceeded the pre-infusion value at the end of the experiment. While IV infusion of HLG inhibited acidification caused by dilution, HRG infusion induced diluted acidification. It is suggested that HLG infusion should be examined as a treatment for cattle with dehydration and moderate metabolic acidosis, since rapid infusion of HLG may be more beneficial for rehydrating cattle with metabolic acidosis than current treatment.

摘要

为了确定快速输注一定量的低渗乳酸林格氏液对轻度脱水小母牛中心静脉压(CVP)和酸碱平衡的影响,对9头轻度脱水的小母牛进行了研究。通过禁食禁水使9头荷斯坦小母牛出现轻度脱水,直至血浆量损失7.0±5.7%。将小母牛随机分为ILG组(乳酸林格氏液+5%葡萄糖)、HLG组(1/2乳酸林格氏液+2.2%葡萄糖)或HRG组(1/2林格氏液+2.5%葡萄糖),每组3头。小母牛以20ml/kg/hr的流速接受30ml/kg的其中一种液体。本研究中使用的HLG和HRG快速静脉输注被发现是安全有效的,可增加血浆量而不增加CVP,尽管是以30ml/kg的剂量经颈静脉输注。然而,ILG输注导致CVP逐渐升高,达到9.0±2.0mmHg。在整个液体输注过程中未观察到任何临床体征,如听诊时有湿啰音、湿性咳嗽、颈静脉充血、眼球突出、流涎或心律失常。ILG组和HRG组的碱剩余相对变化(rBE)在液体输注结束前显著降低。至于HLG组,rBE在液体输注结束前略有下降。然后在实验结束时该值显著升高并超过输注前值。虽然静脉输注HLG可抑制稀释引起的酸化,但HRG输注会导致稀释性酸化。建议对HLG输注作为脱水和中度代谢性酸中毒牛的一种治疗方法进行研究,因为快速输注HLG可能比目前的治疗方法更有利于对患有代谢性酸中毒的牛进行补液。

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