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Acute Med Surg. 2014 Oct 22;2(1):40-47. doi: 10.1002/ams2.84. eCollection 2015 Jan.
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本文引用的文献

1
Hemodynamic management of septic shock.脓毒性休克的血流动力学管理
Curr Infect Dis Rep. 2006 Sep;8(5):366-72. doi: 10.1007/s11908-006-0047-z.
2
Effect of Ibuprofen on interleukin-1beta-induced abnormalities in hemodynamics and oxygen metabolism in rabbits.
Shock. 2003 Dec;20(6):558-64. doi: 10.1097/01.shk.0000092699.10326.26.
3
Dopamine does not correct oxygen consumption/oxygen delivery relation abnormality during vasomotor shock induced by interleukin-1beta.多巴胺不能纠正白细胞介素-1β诱导的血管舒缩性休克期间的氧耗/氧输送关系异常。
Shock. 2002 Dec;18(6):536-41. doi: 10.1097/00024382-200212000-00009.
4
Interleukin-1beta alters the oxygen delivery-oxygen consumption relationship in rabbits by increasing the slope of the supply-independent line.白细胞介素-1β通过增加非供氧依赖线的斜率来改变家兔的氧输送-氧消耗关系。
Shock. 2000 Aug;14(2):193-9. doi: 10.1097/00024382-200014020-00020.
5
Heterogeneity of gut capillary transit times and impaired gut oxygen extraction in endotoxemic pigs.内毒素血症猪肠道毛细血管通过时间的异质性及肠道氧摄取受损
J Appl Physiol (1985). 1996 Aug;81(2):895-904. doi: 10.1152/jappl.1996.81.2.895.
6
Vasodilating prostaglandin E1 decreases critical oxygen delivery by increasing critical oxygen extraction in anesthetized pigs.血管舒张性前列腺素E1通过增加麻醉猪的临界氧摄取来降低临界氧输送。
Circ Shock. 1993 Apr;39(4):253-62.
7
L-arginine pathway in the sepsis syndrome.脓毒症综合征中的L-精氨酸途径。
Crit Care Med. 1993 Sep;21(9):1287-95. doi: 10.1097/00003246-199309000-00010.
8
Abnormal vascular tone, defective oxygen transport and myocardial failure in human septic shock.人类脓毒症休克时的血管张力异常、氧转运缺陷及心肌衰竭。
Ann Surg. 1967 Apr;165(4):504-17. doi: 10.1097/00000658-196704000-00002.
9
Thromboxane, prostacyclin, and the hemodynamic effects of graded bacteremic shock.血栓素、前列环素与分级菌血症性休克的血流动力学效应
Circ Shock. 1985;16(4):395-404.
10
Determination of the critical O2 delivery from experimental data: sensitivity to error.根据实验数据确定临界氧输送:对误差的敏感性
J Appl Physiol (1985). 1988 May;64(5):2074-82. doi: 10.1152/jappl.1988.64.5.2074.

血管舒张性前列腺素E不会重现白细胞介素-1β诱导的家兔氧代谢异常。

Vasodilating prostaglandin E does not reproduce interleukin-1β-induced oxygen metabolism abnormalities in rabbits.

作者信息

Matsuyama Shigenari, Hayakawa Koichi, Sakuramoto Kazuhito, Muroya Takashi, Nakamori Yasushi, Ikegawa Hitoshi, Shimazu Takeshi, Kuwagata Yasuyuki

机构信息

Hyogo Emergency Medical Center Kobe-city Hyogo Japan.

Department of Emergency and Critical Care Medicine Kansai Medical University Hirakata-city Japan.

出版信息

Acute Med Surg. 2014 Oct 22;2(1):40-47. doi: 10.1002/ams2.84. eCollection 2015 Jan.

DOI:10.1002/ams2.84
PMID:29123689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5667190/
Abstract

BACKGROUND

We have reported that administration of recombinant human interleukin (IL)-1β induced circulatory shock in rabbits by causing overproduction of vasodilating prostaglandin(s) and simultaneously impaired oxygen metabolism by causing an abnormal dependence of oxygen consumption (VO) on oxygen delivery (DO). The present study was carried out to compare the effect of administration of exogenous PGE with that of IL-1β on oxygen metabolism.

METHODS

Sixteen rabbits were assigned to one of three groups and given a single injection of 10 μg/kg IL-1β (IL-1β group,  = 5), continuous infusion of 1 μg/kg/min PGE (PGE group,  = 6), or saline (control group,  = 5). All rabbits were subjected to stepwise cardiac tamponade to decrease DO by inflating a balloon placed into the pericardial sac. The VO/DO relation was analyzed by the dual-line method.

RESULTS

Both IL-1β and PGE decreased the baseline value of mean arterial pressure by approximately 25% without inducing significant alteration of the cardiac index. With respect to the VO/DO relation, the slope of the supply-independent line was significantly increased in the IL-1β group (y = 0.13x + 6.4), but not in the PGE group (y = 0.01x + 10.0) compared to that in the control group (y = 0.05x + 8.7).

CONCLUSION

These results indicate that simple vasodilation and hypotension induced by administration of PGE are insufficient to account for the abnormal oxygen metabolism induced by IL-1β.

摘要

背景

我们曾报道,给予重组人白细胞介素(IL)-1β可通过引起血管舒张性前列腺素过度产生而诱发家兔循环性休克,同时通过使氧消耗(VO)对氧输送(DO)产生异常依赖而损害氧代谢。本研究旨在比较外源性前列腺素E(PGE)与IL-1β给药对氧代谢的影响。

方法

将16只家兔分为三组之一,分别单次注射10μg/kg IL-1β(IL-1β组,n = 5)、以1μg/kg/min的速度持续输注PGE(PGE组,n = 6)或生理盐水(对照组,n = 5)。通过向置于心包腔内的球囊充气使所有家兔逐步发生心脏压塞以降低DO。采用双线法分析VO/DO关系。

结果

IL-1β和PGE均使平均动脉压基线值降低约25%,而未引起心脏指数的显著改变。关于VO/DO关系,与对照组(y = 0.05x + 8.7)相比,IL-1β组(y = 0.13x + 6.4)中与供应无关线的斜率显著增加,而PGE组(y = 0.01x + 10.0)中未增加。

结论

这些结果表明,PGE给药所诱导的单纯血管舒张和低血压不足以解释IL-1β所诱导的异常氧代谢。