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严重渐进性血液稀释对局部血流和氧消耗的影响。

The effects of severe progressive hemodilution on regional blood flow and oxygen consumption.

作者信息

Wright C J

出版信息

Surgery. 1976 Mar;79(3):299-305.

PMID:1257896
Abstract

Electrolyte solutions are effective in the immediate treatment of hemorrhagic shock, but the acceptable limits of hemodilution are not well defined. In this study oxygen consumption was measured in various tissues at rest and in maximally exercising skeletal muscle during progressive hemodilution. Twenty splenectomized, anesthetized dogs were studied (weight 22.6 +/- 2.0 kilograms). Measurements were made of cardiac output, capillary muscle blood flow in the hind limb, and renal and superior mesenteric arterial blood flow. Arteriovenous oxygen differences in the hind limb, kidney, gut, and in the whole body were calculated from the oxygen content of arterial and appropriate venous samples.

摘要

电解质溶液在失血性休克的即刻治疗中有效,但血液稀释的可接受限度尚未明确界定。在本研究中,在进行性血液稀释过程中,测量了静息状态下各种组织以及最大运动时骨骼肌的氧耗量。对20只脾切除、麻醉的犬(体重22.6±2.0千克)进行了研究。测量了心输出量、后肢毛细血管肌肉血流量以及肾和肠系膜上动脉血流量。根据动脉和相应静脉样本的氧含量计算后肢、肾脏、肠道和全身的动静脉氧差。

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