Gullichsen E, Nelimarkka O, Scheinin M, Antila K, Leppäluoto J, Niinikoski J
Department of Surgery, University of Turku, Finland.
Acta Chir Scand. 1989 Nov-Dec;155(11-12):567-71.
Changes in arterial plasma levels of atrial natriuretic factor and catecholamine release were studied in 11 beagle dogs during pentobarbital anesthesia. Seven dogs were injected intravenously with Escherichia coli endotoxin, 0.5 mg/kg over 15 min. Four control dogs received only saline solution. The endotoxin injection resulted in cardiac depression,, hemoconcentration, acidosis and renal hypoperfusion. The central venous pressure remained relatively unchanged in both groups during the 2-hour study. The concentrations of epinephrine, norepinephrine and the norepinephrine metabolite 3,4-dihydroxyphenylglycol increased in arterial plasma during the acute hypodynamic endotoxin shock. In the control dogs the levels of these hormones remained very low and constant. Increased circulating levels of atrial natriuretic factor were observed in endotoxin shock with renal hypoperfusion, unchanged central venous pressure and no concomitant tachycardia.
在11只比格犬戊巴比妥麻醉期间,研究了动脉血浆中心房利钠因子水平的变化以及儿茶酚胺的释放情况。7只犬在15分钟内静脉注射0.5mg/kg大肠杆菌内毒素。4只对照犬仅接受盐溶液。内毒素注射导致心脏抑制、血液浓缩、酸中毒和肾灌注不足。在2小时的研究期间,两组的中心静脉压保持相对不变。在急性低动力性内毒素休克期间,动脉血浆中肾上腺素、去甲肾上腺素和去甲肾上腺素代谢产物3,4-二羟基苯乙二醇的浓度升高。在对照犬中,这些激素的水平保持非常低且恒定。在内毒素休克中观察到心房利钠因子的循环水平升高,伴有肾灌注不足、中心静脉压不变且无伴随的心动过速。