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静脉输注高氧溶液对兔急性失血性休克的治疗作用

Therapeutic effects of intravenous infusion of hyperoxygenated solution on acute haemorrhagic shock in rabbits.

作者信息

Xu H, Han L C, Gao W, Sun X X, Zhou Y, Meng X Z, Zhang H, Xu L X

机构信息

Department of Anaesthesiology, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi Province, China.

出版信息

J Int Med Res. 2011;39(5):1843-51. doi: 10.1177/147323001103900527.

Abstract

Tissue anoxia is the main mechanism of the shock reaction. Here, the effect of hyperoxygenated solution (HOS) on acute haemorrhagic shock was studied in rabbits. At 60 min after shock, rabbits were infused intravenously with hyperoxygenated solution at 10 (HOS1 group) or 20 ml/kg (HOS2 group) or with Ringer's solution at 10 ml/kg (RS group). Compared with values before shock, values after shock were lower for mean arterial pressure (MAP), more negative for base excess (BE) and higher for blood lactate (BL) and blood viscosity. After infusion, MAP declined more slowly in the HOS1 and HOS2 groups than in the RS group. At 30 and 60 min after infusion, arterial partial pressure of oxygen (PaO(2)) and oxygen saturation (SaO(2)) were higher and BE was less negative in the HOS1 and HOS2 groups than in the RS group, BL was lower in the HOS1 and HOS2 groups than in the RS group, and PaO(2) and SaO(2) were higher in the HOS2 group than in the HOS1 group. It was concluded that HOS infusion can rectify changes in vital signs more effectively than Ringer's solution after acute haemorrhagic shock in rabbits.

摘要

组织缺氧是休克反应的主要机制。在此,研究了高氧溶液(HOS)对兔急性失血性休克的影响。休克60分钟后,给兔静脉输注10ml/kg的高氧溶液(HOS1组)或20ml/kg的高氧溶液(HOS2组)或10ml/kg的林格液(RS组)。与休克前的值相比,休克后平均动脉压(MAP)降低,碱剩余(BE)更负,血乳酸(BL)和血液粘度升高。输注后,HOS1组和HOS2组的MAP下降比RS组更慢。输注后30分钟和60分钟时,HOS1组和HOS2组的动脉血氧分压(PaO₂)和血氧饱和度(SaO₂)较高,BE较RS组负值小,HOS1组和HOS2组的BL低于RS组,且HOS2组的PaO₂和SaO₂高于HOS1组。得出结论,在兔急性失血性休克后,输注HOS比输注林格液能更有效地纠正生命体征的变化。

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