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接种溶血巴斯德菌的新生犊牛实验性诱导急性肺炎的血流动力学效应

Hemodynamic effects of acute pneumonia experimentally induced in newborn calves inoculated with Pasteurella haemolytica.

作者信息

Alnoor S A, Slocombe R F, Derksen F J, Robinson N E

出版信息

Am J Vet Res. 1986 Jun;47(6):1382-6.

PMID:3524330
Abstract

Hemodynamic responses to acute pneumonia and to hypoxia were investigated in 10 newborn calves. Experiments were performed on heparinized, anesthesized and ventilated calves. Control calves were inoculated intratracheally with bovine fetal serum. Pneumonia was induced in treated calves by intratracheal inoculation with P haemolytica suspended in bovine fetal serum. Before inoculation (base line), at the time of inoculation (T = 0), and at 30-minute intervals for 3 hours, pulmonary arterial pressure (Ppa), systemic arterial pressure, cardiac output (CO), arterial blood gases, pulmonary vascular resistance (PVR), and systemic vascular resistance were determined. At T = 0, calves in both groups became hypoxemic, alveolar-arterial O2 difference, PVR, and Ppa increased, and CO and systemic vascular resistance remained unchanged. At subsequent measurement intervals, all values returned to base-line in control calves, whereas treated calves had progressive hypoxemia associated with a decrease in Ppa and PVR, with no change in CO. Three hours after inoculation and after inhalation of 10% O2 in N2, PVR increased significantly in the control calves. In the treated group, hypoxia did not increase the resistance, compared with base-line and 3-hour values. The data indicate decreased Ppa during pneumonic pasteurellosis is because of a decrease in PVR and that pneumonia may attenuate the normal pulmonary hypoxic vasoconstrictor response.

摘要

对10头新生小牛进行了急性肺炎和低氧血症的血流动力学反应研究。实验在肝素化、麻醉并通气的小牛身上进行。对照小牛经气管内接种牛胎血清。处理组小牛经气管内接种悬浮于牛胎血清中的溶血巴氏杆菌以诱发肺炎。在接种前(基线)、接种时(T = 0)以及接种后3小时内每隔30分钟测定肺动脉压(Ppa)、体动脉压、心输出量(CO)、动脉血气、肺血管阻力(PVR)和体血管阻力。在T = 0时,两组小牛均出现低氧血症,肺泡 - 动脉氧分压差、PVR和Ppa升高,而CO和体血管阻力保持不变。在随后的测量间隔中,对照小牛的所有值均恢复至基线,而处理组小牛出现进行性低氧血症,伴有Ppa和PVR降低,CO无变化。接种后3小时以及吸入氮气中10%氧气后,对照小牛的PVR显著升高。在处理组中,与基线和3小时的值相比,低氧并未增加阻力。数据表明,肺炎巴氏杆菌病期间Ppa降低是由于PVR降低,且肺炎可能减弱正常的肺血管低氧收缩反应。

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