Gaumann D M, Yaksh T L, Dousa M K, Tyce G M
Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota 55905.
Circ Shock. 1989 Feb;27(2):139-54.
Concurrent levels of catecholamines and met-enkephalin in adrenal vein, femoral vein, and femoral artery were measured under baseline conditions and during staged hemorrhage in halothane (1 MAC)-anesthetized cats (Group II, n = 8) and compared to a nonbled control group (Group I, n = 5). In Group III (n = 14) an i.v. bolus of naltrexone in a range of different dosages (0.01 mg/kg to 10 mg/kg) followed by a continuous infusion was administered prior to induction of hemorrhage. In Group II, the loss of 25% of estimated total blood volume led to a significant decrease (-40 +/- 11 mmHg) in mean arterial blood pressure (MABP) without evoking adrenal stimulation. Hemorrhage to 50% of total blood volume was without a further significant fall in MABP, but led to a significant increase in catecholamine and met-enkephalin levels in the adrenal vein. Naltrexone-treated cats in Group III were not different from Group II in regard to hemodynamic and sympathoadrenal response during staged hemorrhage. We conclude that prophylactic administration of naltrexone has no effect on hemodynamic parameters during staged hemorrhage and that the concurrent adrenal secretion of catecholamines and met-enkephalin is not modulated by actions on opiate receptors in the halothane-anesthetized cat.
在基线条件下以及在氟烷(1MAC)麻醉的猫(第二组,n = 8)进行分阶段出血期间,测量肾上腺静脉、股静脉和股动脉中儿茶酚胺和甲硫氨酸脑啡肽的同时水平,并与未出血的对照组(第一组,n = 5)进行比较。在第三组(n = 14)中,在诱导出血前静脉推注一系列不同剂量(0.01mg/kg至10mg/kg)的纳曲酮,随后进行持续输注。在第二组中,估计总血容量损失25%导致平均动脉血压(MABP)显著下降(-40±11mmHg),而未引起肾上腺刺激。出血至总血容量的50%时,MABP没有进一步显著下降,但导致肾上腺静脉中儿茶酚胺和甲硫氨酸脑啡肽水平显著升高。在分阶段出血期间,第三组中接受纳曲酮治疗的猫在血流动力学和交感肾上腺反应方面与第二组没有差异。我们得出结论,预防性给予纳曲酮对分阶段出血期间的血流动力学参数没有影响,并且在氟烷麻醉的猫中,儿茶酚胺和甲硫氨酸脑啡肽的同时肾上腺分泌不受对阿片受体作用的调节。