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硫喷妥钠给药对低血容量犬心血管和呼吸的影响。

Cardiovascular and respiratory effects of thiopental administration in hypovolemic dogs.

作者信息

Ilkiw J E, Haskins S C, Patz J D

机构信息

Department of Surgery, School of Veterinary Medicine, University of California, Davis 95616.

出版信息

Am J Vet Res. 1991 Apr;52(4):576-80.

PMID:2053727
Abstract

The cardiopulmonary effects of thiopental sodium were studied in hypovolemic dogs from completion of until 1 hour after administration of the drug. Hypovolemia was induced by withdrawal of blood from dogs until mean arterial pressure of 60 mm of Hg was achieved. After stabilization at this pressure for 1 hour, 8 mg of thiopental/kg of body weight was administered IV to 7 dogs, and cardiopulmonary effects were measured. After blood withdrawal and prior to thiopental administration, heart rate and oxygen utilization ratio increased, whereas mean arterial pressure, mean pulmonary arterial pressure, central venous pressure, pulmonary wedge pressure, cardiac index, oxygen delivery, mixed venous oxygen tension, and mixed venous oxygen content decreased from baseline. Three minutes after thiopental administration, heart rate, mean arterial pressure, mean pulmonary arterial pressure, pulmonary vascular resistance, and mixed venous oxygen tension increased, whereas oxygen utilization ratio and arterial and mixed venous pH decreased from values measured prior to thiopental administration. Fifteen minutes after thiopental administration, heart rate was still increased; however by 60 minutes after thiopental administration, all measurements had returned to values similar to those obtained prior to thiopental administration.

摘要

在低血容量性犬中,研究了硫喷妥钠从给药完成至给药后1小时的心肺效应。通过从犬体内抽血诱导低血容量,直至平均动脉压达到60 mmHg。在该压力下稳定1小时后,对7只犬静脉注射8 mg硫喷妥钠/千克体重,并测量心肺效应。在抽血后且硫喷妥钠给药前,心率和氧利用率增加,而平均动脉压、平均肺动脉压、中心静脉压、肺楔压、心脏指数、氧输送、混合静脉血氧分压和混合静脉血氧含量较基线水平降低。硫喷妥钠给药后3分钟,心率、平均动脉压、平均肺动脉压、肺血管阻力和混合静脉血氧分压升高,而氧利用率以及动脉血和混合静脉血pH值较硫喷妥钠给药前测量值降低。硫喷妥钠给药后15分钟,心率仍升高;然而,在硫喷妥钠给药后60分钟时,所有测量值均恢复至与硫喷妥钠给药前相似的值。

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