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一种用于标准化和治疗大鼠热损伤的新模型。

A new model for standardising and treating thermal injury in the rat.

作者信息

Davenport Lisa, Dobson Geoffrey, Letson Hayley

机构信息

Heart, Trauma & Sepsis Research Laboratory, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, 4811, Australia.

出版信息

MethodsX. 2019 Sep 12;6:2021-2027. doi: 10.1016/j.mex.2019.09.006. eCollection 2019.

DOI:10.1016/j.mex.2019.09.006
PMID:31667099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6812329/
Abstract

Thermal burn injury methodologies are inconsistently described within the current literature. To permit the advancement of new treatments there is an urgent need for the development and standardisation of an acute rat model. We describe a rat thermal burn model that involves: anaesthesia, chronic catheterisation, skin preparation, baseline hemodynamic and physiological monitoring, and a quantifiable method to reproduce a severe full-thickness burns injury affecting ∼30% percent of the total body surface area (%TBSA). Following a 15 min post-burn period, treatment commences with an acute monitoring phase lasting up to 8 h, which can be modified according to individual protocols. This model reflects the clinical continuum-of-care from point-of-injury, a 15 min ambulance response time, a 60 min prehospital phase and hospital treatment monitoring phase. The model is validated with histological evidence of full-thickness injury, evidence of the hypermetabolic response (K+, Base Excess, lactate) and changes in complete blood counts. •It has been 50 years since Walker and Mason published their widely popular "A Standard Animal Burn Model".•The model, however, lacks quantifiable methodology for the assessment of burn thickness, surface area burnt and physiological status.•We present a new standardised method for evaluation of drug and interventional therapies that mimic the clinical scenario including ambulance response, pre-hospital and hospital phases after burn.

摘要

目前的文献中对热烧伤损伤方法的描述并不一致。为了推动新治疗方法的发展,迫切需要开发和标准化一种急性大鼠模型。我们描述了一种大鼠热烧伤模型,该模型包括:麻醉、慢性导管插入术、皮肤准备、基线血流动力学和生理监测,以及一种可量化的方法来重现严重的全层烧伤损伤,该损伤影响约30%的总体表面积(%TBSA)。烧伤后15分钟,治疗从持续长达8小时的急性监测阶段开始,该阶段可根据个体方案进行调整。该模型反映了从受伤点开始的临床连续护理,15分钟的救护车响应时间,60分钟的院前阶段和医院治疗监测阶段。该模型通过全层损伤的组织学证据、高代谢反应(钾离子、碱剩余、乳酸)的证据以及全血细胞计数的变化得到验证。•自沃克和梅森发表广受欢迎的《标准动物烧伤模型》以来已有50年了。•然而,该模型缺乏用于评估烧伤厚度、烧伤表面积和生理状态的可量化方法。•我们提出了一种新的标准化方法,用于评估模拟临床场景的药物和介入治疗,包括烧伤后的救护车响应、院前和医院阶段。

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本文引用的文献

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Emergency versus standard response: time efficacy of London's Air Ambulance rapid response vehicle.紧急与标准响应:伦敦空中救护快速反应车的时间效率。
大鼠对热皮肤损伤的复杂海马反应以及高压氧疗法和提取物的方案
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Lung Protection After Severe Thermal Burns With Adenosine, Lidocaine, and Magnesium (ALM) Resuscitation and Importance of Shams in a Rat Model.严重热烧伤后用腺嘌呤、利多卡因和镁(ALM)复苏的肺保护作用及在大鼠模型中假手术的重要性。
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