Kaneko T
First Department of Surgery, Kumamoto University Medical School.
Masui. 1990 Feb;39(2):148-53.
We evaluated a double indicator dilution method of lung water for studying the effect of intratracheally infused bile acids on the respiratory system in anesthetized dogs. Deoxycholic acid and taurodeoxycholic acid were diluted to 1% or 10% with normal saline solution, and 1 ml.kg-1 was infused into the trachea through an endotracheal tube under controlled ventilation with air. The lung water volumes determined by the thermo-saline method correlated with those obtained by gravimetry at sacrifice. In real-time recording obtained by the thermo-saline method, the lung water volumes increased following injection of bile acid, and the increase varied with the bile acids and its concentration. With 10% diluted deoxycholic acid, lung water volume increased linearly to 28.9 +/- 3.5 ml.kg-1 after 1 hour. With 10% diluted taurodeoxycholic acid and 1% diluted deoxycholic acid, lung water volume increased rapidly until 3 hours and then slowly to 22.3 +/- 0.9 ml.kg-1 and 21.4 +/- 3.5 ml.kg-1 after 6 hours. With 1% diluted taurodeoxycholic acid, the lung water volume increased slightly to 15.7 +/- 2.9 after 6 hours. The thermo-saline method is considered to be useful for clinical evaluation of pulmonary edema.
我们评估了一种肺水双指示剂稀释法,用于研究在麻醉犬中气管内注入胆汁酸对呼吸系统的影响。将脱氧胆酸和牛磺脱氧胆酸用生理盐水稀释至1%或10%,在空气控制通气下,通过气管内导管向气管注入1 ml.kg-1。通过热盐水法测定的肺水量与处死时通过重量法获得的肺水量相关。在热盐水法的实时记录中,注入胆汁酸后肺水量增加,且增加量因胆汁酸及其浓度而异。使用10%稀释的脱氧胆酸时,1小时后肺水量线性增加至28.9±3.5 ml.kg-1。使用10%稀释的牛磺脱氧胆酸和1%稀释的脱氧胆酸时,肺水量在3小时内迅速增加,然后在6小时后缓慢增加至22.3±0.9 ml.kg-1和21.4±3.5 ml.kg-1。使用1%稀释的牛磺脱氧胆酸时,6小时后肺水量略有增加至15.7±2.9。热盐水法被认为对肺水肿的临床评估有用。