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[内毒素对心血管系统的影响]

[The effect of endotoxin on the cardiovascular system].

作者信息

Velkov Z A, Lolov R V, Nikolov N A

出版信息

Patol Fiziol Eksp Ter. 1989 Jan-Feb(1):49-52.

PMID:2717233
Abstract

The dynamics of changes in myocardial contractility and pressure in the left ventricle of the heart and the femoral artery were studied in rabbits before and after intravenous infusion of 2 mg/kg endotoxin. The left ventricle was catheterized. The signal from the left-ventricular pressure transducer was fed into a microcomputer after analog-digital conversion for calculating the maximal rate of increase in intraventricular pressure. All the parameters studied began decreasing as early as the 5th minute after endotoxin administration. A statistically significant decrease (p less than 0.05) of the heart rate was recorded first on the 30th minute, than the left-ventricular pressure and maximal rate of intraventricular pressure increase took place on the 45th minute, and systolic and diastolic pressure in the femoral artery decreased on the 60th minute. The detected disorders of myocardial contractility provoke the appearance of hypotension the main role in the development of which is played by damage to the peripheral vascular network.

摘要

在静脉注射2mg/kg内毒素前后,对家兔心脏左心室和股动脉的心肌收缩力及压力变化动态进行了研究。对左心室进行插管。左心室压力传感器的信号在进行模数转换后输入微型计算机,以计算心室内压力的最大上升速率。早在给予内毒素后第5分钟,所有研究参数就开始下降。在第30分钟首次记录到心率有统计学意义的下降(p<0.05),然后在第45分钟左心室压力和心室内压力最大上升速率出现下降,股动脉收缩压和舒张压在第60分钟下降。检测到的心肌收缩力紊乱引发了低血压的出现,其发展过程中起主要作用的是外周血管网络的损伤。

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