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实验动物急性等容性血液稀释后在6%氧通气条件下心肌的血流动力学及对缺氧的耐受性(作者译)

[Haemodynamics and tolerance to hypoxia of the myocardium under 6%-oxygen ventilation following acute isovolaemic haemodilution in experimental animals (author's transl)].

作者信息

Loos W, Kettler K, Hellberg K, Klaess G, Kontokollias J S, de Vivie R

出版信息

Anaesthesist. 1976 Apr;25(4):137-42.

PMID:1275211
Abstract
  1. In experiments on closed chest dogs in a control group and a group of previous isovolaemic haemodiluted dogs a cardiovascular stress was produced by means of reduction of inspiratory O2 content to 6% O2--2. Under haemodilution only small changes of the heart rate, aortic pressure and dp/dtmax occurred, pointing to a decreased sympathoadrenergic response. Augmentation of LVEDP and pulmonary artery pressure is considered to be related to left ventricular insufficiency.--3. According to haemodynamic changes myocardial O2 demand in the control group during hypoxia is increasedby 120% and in contrast remains unchanged after previous haemodilution.--4. Despite the reduced oxygen content under haemodilution severe arterial hypoxemia affects mean survival time of the animals (18.5 min and 21.5 min respectively) only little. However, there is a greater variation from 11 to 26 min in the haemodiluted animals.
摘要
  1. 在对照组和一组先前进行等容血液稀释的犬的闭胸实验中,通过将吸入氧含量降至6%氧气来产生心血管应激。

  2. 在血液稀释情况下,心率、主动脉压和dp/dtmax仅发生微小变化,表明交感肾上腺素能反应降低。左心室舒张末期压力和肺动脉压的升高被认为与左心室功能不全有关。

  3. 根据血流动力学变化,对照组在缺氧期间心肌氧需求增加120%,相比之下,先前进行血液稀释后心肌氧需求保持不变。

  4. 尽管在血液稀释情况下氧含量降低,但严重的动脉低氧血症对动物平均存活时间(分别为18.5分钟和21.5分钟)的影响很小。然而,血液稀释动物的存活时间变化较大,从11分钟到26分钟不等。

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