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麻醉马匹姿势改变时动脉血氧张力的改善

Improvement in arterial oxygen tension with change in posture in anaesthetised horses.

作者信息

Gleed R D, Dobson A

机构信息

Department of Clinical Sciences, New York State College of Veterinary Medicine, Cornell University, Ithaca 14853.

出版信息

Res Vet Sci. 1988 Mar;44(2):255-9.

PMID:3133731
Abstract

Observations were made on horses spontaneously breathing oxygen, with halothane at a constant end tidal concentration. The horses were positioned in dorsal recumbency for the first 45 minutes of each anaesthetic episode during which the arterial oxygen tension (PaO2) was found to peak and then decline. The remaining 60 minutes of each anaesthesia was used to test the effect of various manoeuvres on PaO2. The PaO2 of horses decreased further both when remaining in dorsal recumbency and when repositioned in right or left recumbency. In contrast, placing the horses in sternal recumbency for these remaining 60 minutes caused the PaO2 to rise rapidly providing evidence for redistribution of ventilation. Replacing some inspired oxygen with less absorbable nitrogen did not improve PaO2 in dorsal recumbency. Thus there was no evidence that the low PaO2 of dorsal recumbency was associated with alveoli that had collapsed because of gas absorption.

摘要

对自主呼吸氧气、呼气末氟烷浓度恒定的马匹进行了观察。在每次麻醉过程的前45分钟,将马匹置于仰卧位,在此期间发现动脉血氧分压(PaO2)先达到峰值然后下降。每次麻醉的剩余60分钟用于测试各种操作对PaO2的影响。无论是保持仰卧位还是重新置于右侧或左侧卧位,马匹的PaO2都会进一步降低。相比之下,在剩余的60分钟内将马匹置于胸卧位会使PaO2迅速升高,这为通气再分布提供了证据。用吸收性较差的氮气替代部分吸入的氧气并不能改善仰卧位时的PaO2。因此,没有证据表明仰卧位时的低PaO2与因气体吸收而塌陷的肺泡有关。

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