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山羊实验性有机磷中毒期间的呼吸和肺血流动力学变化

Respiratory and pulmonary haemodynamic changes during experimental organophosphate poisoning in goats.

作者信息

Bakima M, Baudet H M, Lekeux P, Lomba F

机构信息

Laboratory for Cardiopulmonary Investigation, Faculty of Veterinary Medicine, University of Liège, Brussels, Belgium.

出版信息

Vet Res Commun. 1989;13(2):127-33. doi: 10.1007/BF00346722.

Abstract

Five French Alpine goats received 2 mg kg-1 of dichlorvos (DDVP) by intravenous injection and 0.15 mg kg-1 of atropine sulphate 5-10 min later. Ventilatory mechanics, gas exchanges, pulmonary haemodynamics and pulmonary vascular resistance (PVR) were measured before treatment, 5 min after DDVP injection and 5 min after atropine injection. Within 2 min of DDVP administration, all the goats showed acute respiratory distress, excitation and slight muscle fasciculations. A post-inspiratory pause was recorded in 3 goats. Hypersecretion of saliva or nasal discharge was not observed. Dynamic compliance and heart rate decreased significantly and total pulmonary resistance, pulmonary artery and wedge pressures increased significantly. On the other hand, minute ventilation, arterial oxygen and carbon dioxide tensions were not significantly altered by DDVP. Atropine treatment reversed all the clinical and functional parameters, with the exception of the central nervous and muscular signs, which disappeared within 12 h. It was concluded that experimental DDVP toxicosis induced changes in the mechanics of breathing and pulmonary haemodynamics associated with diffuse bronchoconstriction and cardiac insufficiency respectively.

摘要

五只法国阿尔卑斯山羊静脉注射2毫克/千克敌敌畏(DDVP),5至10分钟后注射0.15毫克/千克硫酸阿托品。在治疗前、DDVP注射后5分钟和阿托品注射后5分钟测量通气力学、气体交换、肺血流动力学和肺血管阻力(PVR)。在给予DDVP的2分钟内,所有山羊均出现急性呼吸窘迫、兴奋和轻微肌肉震颤。3只山羊记录到吸气后停顿。未观察到唾液分泌过多或鼻分泌物增多。动态顺应性和心率显著降低,总肺阻力、肺动脉压和楔压显著升高。另一方面,DDVP对分钟通气量、动脉血氧和二氧化碳张力无显著影响。阿托品治疗逆转了所有临床和功能参数,但中枢神经和肌肉体征除外,这些体征在12小时内消失。得出的结论是,实验性DDVP中毒分别导致与弥漫性支气管收缩和心功能不全相关的呼吸力学和肺血流动力学变化。

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