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静脉注射乳酸林格氏液对健康异氟烷麻醉犬血液学、血清生化、流变学、血流动力学及肾脏指标的影响。

Effects of intravenous administration of lactated Ringer's solution on hematologic, serum biochemical, rheological, hemodynamic, and renal measurements in healthy isoflurane-anesthetized dogs.

作者信息

Muir William W, Kijtawornrat Anusak, Ueyama Yukie, Radecki Steven V, Hamlin Robert L

机构信息

QTest Laboratories, 6456 Fiesta Dr, Columbus, OH 43235, USA.

出版信息

J Am Vet Med Assoc. 2011 Sep 1;239(5):630-7. doi: 10.2460/javma.239.5.630.

Abstract

OBJECTIVE

To determine the hematologic, serum biochemical, rheological, hemodynamic, and renal effects of IV administration of lactated Ringer's solution (LRS) to healthy anesthetized dogs.

DESIGN

4-period, 4-treatment cross-over study.

ANIMALS

8 healthy mixed-breed dogs.

PROCEDURES

Each dog was anesthetized, mechanically ventilated, instrumented, and randomly assigned to receive LRS (0, 10, 20, or 30 mL/kg/h [0, 4.5, 9.1, or 13.6 mL/lb/h]), IV, on 4 occasions separated by at least 7 days. Blood hemoglobin concentration and serum total protein, albumin, lactate, and electrolyte concentrations; PCV; colloid osmotic pressure; arterial and venous pH and blood gases (Po2; Pco2); whole blood and plasma viscosity; arterial and venous blood pressures; cardiac output; results of urinalysis; urine production; glomerular filtration rate; and anesthetic recovery times were monitored. Oxygen delivery, vascular resistance, stroke volume, pulse pressure, and blood and plasma volume were calculated.

RESULTS

Increasing rates of LRS administration resulted in dose-dependent decreases in PCV; blood hemoglobin concentration and serum total protein and albumin concentrations; colloid osmotic pressure; and whole blood viscosity. Plasma viscosity; serum electrolyte concentrations; data from arterial and venous blood gas analysis; glomerular filtration rate; urine production; heart rate; pulse, central venous, and arterial blood pressures; pulmonary vascular resistance; and oxygen delivery did not change. Pulmonary artery pressure, stroke volume, and cardiac output increased, and systemic vascular resistance decreased.

CONCLUSIONS AND CLINICAL RELEVANCE

Conventional IV infusion rates of LRS to isoflurane-anesthetized dogs decreased colligative blood components; increased plasma volume, pulmonary artery pressure, and cardiac output; and did not change urine production or oxygen delivery to tissues.

摘要

目的

确定对健康麻醉犬静脉输注乳酸林格氏液(LRS)的血液学、血清生化、流变学、血流动力学及肾脏效应。

设计

4期、4种处理的交叉研究。

动物

8只健康杂种犬。

方法

每只犬麻醉后进行机械通气、仪器监测,并随机分配接受LRS(0、10、20或30 mL/kg/h [0、4.5、9.1或13.6 mL/lb/h])静脉输注,分4次进行,每次间隔至少7天。监测血红蛋白浓度、血清总蛋白、白蛋白、乳酸及电解质浓度;红细胞压积;胶体渗透压;动脉和静脉pH值及血气(Po2;Pco2);全血和血浆粘度;动脉和静脉血压;心输出量;尿液分析结果;尿量;肾小球滤过率;以及麻醉恢复时间。计算氧输送、血管阻力、每搏输出量、脉压以及血容量和血浆容量。

结果

LRS输注速率增加导致红细胞压积、血红蛋白浓度、血清总蛋白和白蛋白浓度、胶体渗透压及全血粘度呈剂量依赖性降低。血浆粘度、血清电解质浓度、动脉和静脉血气分析数据、肾小球滤过率、尿量、心率、脉搏、中心静脉压和动脉血压、肺血管阻力及氧输送未发生变化。肺动脉压、每搏输出量和心输出量增加,全身血管阻力降低。

结论及临床意义

以常规静脉输注速率对异氟烷麻醉犬输注LRS可降低血液胶体成分;增加血浆容量、肺动脉压和心输出量;且不改变尿量或组织氧输送。

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