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脓毒症、复苏后失血性休克与“休克肺”:一项实验相关性研究

Sepsis, resuscitated hemorrhagic shock and "shock lung:" An experimental correlation.

作者信息

Esrig B C, Fulton R L

出版信息

Ann Surg. 1975 Sep;182(3):218-27. doi: 10.1097/00000658-197509000-00005.

Abstract

Dogs were submitted to hermorrhagic shock, resuscitated shock and resuscitated shock plus a pulmonary bacterial insult. Pulmonary familure was absent in dogs submitted only to shock or to shock and its resuscitation. The addition of usually sub-lethal amounts of micro-organisms to the shock-resuscitated lung caused rapid death from pulmonary failure. Pulmonary failure was demonstrated by increased lung weight, hypoxemia, decreased compliance and a hemorrhagic destruction of lung tissue. These findings strongly support recent concepts of an infective genesis of "shock lung" in man.

摘要

将狗置于失血性休克、复苏后休克以及复苏后休克加肺部细菌感染的状态。仅经历休克或休克及复苏的狗未出现肺衰竭。在经历休克复苏的肺中加入通常为亚致死量的微生物会导致因肺衰竭迅速死亡。肺衰竭表现为肺重量增加、低氧血症、顺应性降低以及肺组织出血性破坏。这些发现有力地支持了人类“休克肺”感染性发病机制的最新概念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6123/1343928/b894bc7503a0/annsurg00283-0059-a.jpg

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本文引用的文献

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FLUID THERAPY IN HEMORRHAGIC SHOCK.失血性休克中的液体治疗
Arch Surg. 1964 Apr;88:688-93. doi: 10.1001/archsurg.1964.01310220178027.
6
Pulmonary contusion.肺挫伤
J Trauma. 1965 Sep;5(5):647-58. doi: 10.1097/00005373-196509000-00009.
9
Experimental shock lung model.实验性休克肺模型
J Trauma. 1968 Sep;8(5):782-7. doi: 10.1097/00005373-196809000-00019.
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Congestive atelectasis. An experimental study.充血性肺不张。一项实验研究。
Ann Surg. 1968 Aug;168(2):234-42. doi: 10.1097/00000658-196808000-00008.

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