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氟烷对犬左心室舒张及舒张早期冠状动脉血流的影响。

Effects of halothane on left ventricular relaxation and early diastolic coronary blood flow in the dog.

作者信息

Doyle R L, Foëx P, Ryder W A, Jones L A

机构信息

Nuffield Department of Anaesthetics, University of Oxford, Radcliffe Infirmary, England.

出版信息

Anesthesiology. 1989 Apr;70(4):660-6. doi: 10.1097/00000542-198904000-00020.

Abstract

The effects of graded concentrations of halothane on left ventricular relaxation and phasic coronary blood flow (CBF) were studied in six open-chest, anesthetized dogs. Global and regional left ventricular function were measured. Besides the expected dose-dependent depression of contractility, regional shortening, and cardiac output, halothane caused significant increases in the time constant of relaxation (Trelax), and decreased and delayed the nadir of peak negative left ventricular dP/dt. Dose-dependent reductions of CBF were noted. Percentage CBF during isovolumic relaxation was significantly reduced and showed a strong inverse correlation with Trelax. Halothane appears to interfere with the inactivation process of the heart; this in turn may impede the early rise in CBF during isovolumic relaxation.

摘要

在六只开胸麻醉犬中研究了不同浓度氟烷对左心室舒张和阶段性冠状动脉血流(CBF)的影响。测量了左心室整体和局部功能。除了预期的剂量依赖性收缩力、局部缩短和心输出量降低外,氟烷还导致舒张时间常数(Trelax)显著增加,并降低和延迟了左心室最大负dP/dt的最低点。观察到CBF呈剂量依赖性降低。等容舒张期的CBF百分比显著降低,且与Trelax呈强烈负相关。氟烷似乎干扰了心脏的失活过程;这反过来可能会阻碍等容舒张期CBF的早期升高。

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