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在持续五小时的恒量氟烷麻醉期间,马的身体姿势对心肺功能的影响。

Effect of body posture on cardiopulmonary function in horses during five hours of constant-dose halothane anesthesia.

作者信息

Steffey E P, Kelly A B, Hodgson D S, Grandy J L, Woliner M J, Willits N

机构信息

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

出版信息

Am J Vet Res. 1990 Jan;51(1):11-6.

PMID:2301808
Abstract

Cardiovascular and respiratory functions were serially characterized in 7 healthy, spontaneously breathing, adult horses (from which food had been withheld) during 5 hours of constant 1.06% alveolar halothane (end-expired halothane concentration of 1.06%; equivalent to 1.2 times the minimal alveolar anesthetic concentration for horses). To enable comparison of temporal results in relation to 2 body postures, horses were studied in lateral recumbency (LR) and dorsal recumbency (DR) on separate occasions. Temporal changes in results of measures of circulation previously reported from this laboratory for horses in LR were confirmed (ie, a time-related increase in systemic arterial blood pressure, cardiac output, stroke volume, and PCV). During DR, systemic arterial blood pressure was initially significantly (P less than 0.05) greater and pulmonary artery pressure less than results at comparable periods during LR. Differences ceased to exist with duration of anesthesia. Except for a greater heart rate at hour 5 of DR, no other significant differences in circulation were found between LR and DR. In general, except for PaO2, measures of ventilation did not change with time in either LR or DR. The PaO2 was significantly greater during LR, compared with DR, but the average did not change significantly with time in either body posture.

摘要

对7匹健康、自主呼吸的成年马(已禁食)在持续5小时的1.06%肺泡氟烷(呼气末氟烷浓度为1.06%;相当于马的最低肺泡麻醉浓度的1.2倍)吸入过程中,对其心血管和呼吸功能进行了连续监测。为了比较两种体位下的时间结果,分别在侧卧(LR)和仰卧(DR)体位下对马进行了研究。本实验室先前报道的马在LR体位下循环指标的时间变化得到了证实(即,全身动脉血压、心输出量、每搏量和红细胞压积随时间增加)。在DR体位下,全身动脉血压最初显著(P<0.05)高于LR体位下可比时间段的结果,而肺动脉压则低于LR体位下的结果。随着麻醉时间的延长,差异不再存在。除了DR体位下第5小时心率较高外,LR和DR体位下的循环未见其他显著差异。一般来说,除了动脉血氧分压(PaO2)外,LR和DR体位下的通气指标均未随时间变化。与DR体位相比,LR体位下的PaO2显著更高,但在两种体位下,其平均值均未随时间显著变化。

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