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腹主动脉长时间夹闭及再灌注期间心肌需氧量和瞬时心室血管容量的变化

Changes in myocardial oxygen demand and instantaneous ventricular vascular volume during prolonged cross-clamping and reperfusion of the abdominal aorta.

作者信息

Wang C, Zhang C, Liu R L, Song X L

出版信息

Thorac Cardiovasc Surg. 1985 Apr;33(2):94-7.

PMID:2409631
Abstract

In 47 animals (rats, rabbits) the cardiac side effects of prolonged (3 to 6 hours) abdominal aortic cross-clamping and unclamping (3 to 6 hours) were investigated. The relative instantaneous ventricular vascular volume (IVVV), a factor reflecting myocardial blood supply and the rate pressure product (RPP) representing myocardial oxygen demand were used as parameters. Following cross-clamping the IVVV showed an initial decrease while the myocardial oxygen demand revealed a sudden increase. After unclamping, the myocardial oxygen demand decreased and IVVV improved. Minimal levels of both IVVV and RPP occurred at 6 hours following unclamping. This may be an effect of a myocardial inhibiting substance, released by ischemia and necrosis of the lower extremity.

摘要

在47只动物(大鼠、兔子)中,研究了延长(3至6小时)腹主动脉夹闭和松开(3至6小时)的心脏副作用。使用反映心肌血液供应的相对瞬时心室血管容积(IVVV)和代表心肌需氧量的速率压力乘积(RPP)作为参数。夹闭后,IVVV最初下降,而心肌需氧量突然增加。松开后,心肌需氧量下降,IVVV改善。IVVV和RPP的最低水平出现在松开后6小时。这可能是下肢缺血和坏死释放的心肌抑制物质的作用。

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