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大量输注生理盐水后犬骨骼肌的氧消耗

Oxygen consumption in canine skeletal muscle following massive saline infusion.

作者信息

Landau S E, Powers S R, Alexander R S, Goldfarb R D, Boveja B

出版信息

Adv Shock Res. 1979;2:93-101.

PMID:262807
Abstract

To study the effect of interstitial edema on tissue oxygen transport, we infused buffered isotonic saline solution at a rate of 200 ml/kg/hr into mongrel dogs for two hours, measuring oxygen delivery and consumption in a skinned, innervated hindlimb. Hematocrit dropped gradually to 10.8 +/- 3.9%. Muscle water content increased 13% (P less than 0.05). However, oxygen consumption did not change significantly from control of 0.228 +/- 0.029 ml/min/100 gm. Femoral venous oxygen tension fell from control of 62.6 +/- 2.6 mm Hg to 31.4 +/- 2.3 mm Hg. Mean arterial flow increased to nearly twice the control level of 12.5 +/- 1.1 ml/min/100 gm and fell gradually, with the sustained 50% drop in vascular resistance largely explained by expected decreases in blood viscosity. We conclude that interstitial edema did not cause a significant defect in canine skeletal muscle oxygen utilization.

摘要

为研究间质水肿对组织氧转运的影响,我们以200毫升/千克/小时的速率向杂种犬输注缓冲等渗盐溶液,持续两小时,同时测量去皮、有神经支配的后肢的氧输送和氧消耗。血细胞比容逐渐降至10.8±3.9%。肌肉含水量增加了13%(P<0.05)。然而,氧消耗与0.228±0.029毫升/分钟/100克的对照值相比无显著变化。股静脉氧分压从对照值62.6±2.6毫米汞柱降至31.4±2.3毫米汞柱。平均动脉血流量增加至对照值12.5±1.1毫升/分钟/100克的近两倍,随后逐渐下降,血管阻力持续下降50%,这主要是由于血液粘度的预期降低所致。我们得出结论,间质水肿并未导致犬骨骼肌氧利用出现显著缺陷。

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