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成年绵羊出血后血容量的恢复

Blood volume restitution after hemorrhage in adult sheep.

作者信息

Grimes J M, Buss L A, Brace R A

机构信息

Department of Reproductive Medicine, University of California, San Diego, La Jolla 92093.

出版信息

Am J Physiol. 1987 Oct;253(4 Pt 2):R541-4. doi: 10.1152/ajpregu.1987.253.4.R541.

Abstract

Indirect experimental evidence suggested the possibility that the restoration of blood volume to normal hemorrhage in adult sheep may occur more quickly than in other species that have been studied. To test this hypothesis, we studied unanesthetized chronically catheterized adult female sheep 1-2 wk after splenectomy. An average of 19.6 +/- 1.4% (SE) of their initial blood volume was removed over 10 min. Blood volume restitution at 0.5, 1, 3, 5, 7, 24, and 48 h posthemorrhage averaged 12 +/- 3, 34 +/- 3, 41 +/- 3, 50 +/- 4, 62 +/- 10, 79 +/- 10, and 124 +/- 25%, respectively. Arterial pressure decreased during the hemorrhage and returned to normal within 2 h, whereas venous pressure did not change significantly. No change in blood osmolality occurred. There was a highly significant correlation between blood volume and plasma protein mass (r = 0.98, P less than 10(-6)) during and after the hemorrhage. Thus it appears that the posthemorrhage restoration of blood volume in adult sheep occurs over essentially the same time course as in other species and this appears to be mediated by a restoration of plasma protein mass.

摘要

间接实验证据表明,成年绵羊失血性血容量恢复正常的速度可能比其他已研究的物种更快。为了验证这一假设,我们研究了脾切除术后1-2周的未麻醉、长期插管的成年雌性绵羊。在10分钟内平均抽取其初始血容量的19.6±1.4%(标准误)。出血后0.5、1、3、5、7、24和48小时的血容量恢复率分别平均为12±3%、34±3%、41±3%、50±4%、62±10%、79±10%和124±25%。出血期间动脉压下降,并在2小时内恢复正常,而静脉压无明显变化。血渗透压无变化。出血期间及出血后血容量与血浆蛋白质量之间存在高度显著的相关性(r = 0.98,P < 10^(-6))。因此,成年绵羊出血后血容量的恢复过程与其他物种基本相同,这似乎是由血浆蛋白质量的恢复介导的。

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