Raff H
Endocrine Research Laboratory, St. Luke's Medical Center, Milwaukee, Wisconsin 53215.
Am J Physiol. 1988 Nov;255(5 Pt 2):R851-4. doi: 10.1152/ajpregu.1988.255.5.R851.
The present study evaluated a protocol for drawing large volumes of blood over an acute time frame in conscious cannulated rats with blood from cannulated donor rats simultaneously infused to maintain isovolemia. During time control (n = 6), three successive 1.5-ml blood samples were drawn at 10-min intervals with equal volumes of donor blood infused simultaneously. One milliliter of blood was drawn quickly and saved for analysis followed by an additional 3 ml of blood withdrawal to total a 15-ml/kg hemorrhage. Two subsequent 1.5-ml samples were replaced with autologous (hemorrhage) blood. During hypoxia inspired O2 was decreased to 10% after the first sample-transfusion. The sampling-transfusion protocol (time control) had no effect on blood pressure (MAP), hematocrit (Hct), blood gases, renin, or adrenocorticotropic hormone (ACTH). Hemorrhage resulted in a significant decrease in MAP, Hct, base excess, and arterial PCO2 and an increase in arterial PO2, renin activity, and ACTH. Ten percent O2 resulted in significant hypoxemia, respiratory alkalosis, and a small degree of hypotension at the 20-min sample with no change in renin and a moderate increase in ACTH. The consistency of the results with previous studies confirms the utility and efficiency of large sample-transfusion protocols for the study of blood gas and endocrine dynamics in conscious rats.
本研究评估了一种方案,即在清醒的插管大鼠中,在急性时间段内抽取大量血液,同时输注来自插管供体大鼠的血液以维持血容量正常。在时间对照组(n = 6)中,每隔10分钟连续抽取三份1.5毫升血样,同时输注等量的供体血液。快速抽取1毫升血液保存用于分析,随后再抽取3毫升血液,使总失血量达到15毫升/千克。随后的两份1.5毫升血样用自体(失血)血液替代。在低氧期间,首次采样 - 输血后将吸入氧降低至10%。采样 - 输血方案(时间对照)对血压(平均动脉压)、血细胞比容、血气、肾素或促肾上腺皮质激素(ACTH)无影响。失血导致平均动脉压、血细胞比容、碱剩余和动脉血二氧化碳分压显著降低,动脉血氧分压、肾素活性和促肾上腺皮质激素升高。10%的氧导致严重低氧血症、呼吸性碱中毒,在20分钟采样时出现轻度低血压,肾素无变化,促肾上腺皮质激素中度升高。结果与先前研究的一致性证实了大样本 - 输血方案在研究清醒大鼠血气和内分泌动力学方面的实用性和有效性。