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[所谓休克肺的治疗。休克时肺的实验动物研究]

[Therapy of so-called shock lung. Experimental animal studies of the lung in shock].

作者信息

Becker H

出版信息

Fortschr Med. 1979 Apr 26;97(16):771-6.

PMID:378797
Abstract
  1. Under hemorrhagic-traumatic shock conditions the depression of the flow and the pressure in pulmonary arteria and of the pressure in the left atrium was significant. The elevation of the pulmonary vessel resistance was significant, the pulmonary circulation time was longer. The depression of the oxygen partial pressure in arterial and venous blood was significant. 2. In comparison to single re-transfusion of the taken blood, the re-transfusion and application of 6-Methylprednisolone (Urbason; 30 mg/kg) could raise the pulmonary pressure and the flow in the pulmonary arteria and the oxygen pressure in the arterial and venous blood over their basic level. 3. After re-transfusion and simultaneous addition of phenoxybenzamine a renewing shock took place caused by a relative hypovolemia. 4. The hemodynamic circulation in the pulmonary and peripherial vessels was restored by hemodilution. While a single infusion of Haemaccel intensified the hypoxemia in comparison to shock conditions, the infusion of albumin (4%) caused no change in measured values. The application of Urbason (30 mg/kg) combined with Haemaccel-infusions raised the arterial and venous oxygen pressure significantly, in comparison to the hypotonic-phase they exceeded the basic values.
摘要
  1. 在出血性创伤性休克条件下,肺动脉血流和压力以及左心房压力显著降低。肺血管阻力显著升高,肺循环时间延长。动脉血和静脉血中氧分压显著降低。2. 与单纯回输所取血液相比,回输并应用6-甲基泼尼松龙(甲泼尼龙;30毫克/千克)可使肺动脉压力和血流以及动脉血和静脉血中的氧分压升高至基础水平之上。3. 回输并同时添加酚苄明后,因相对血容量不足发生了再次休克。4. 通过血液稀释恢复了肺血管和外周血管的血流动力学循环。与休克状态相比,单次输注贺斯加剧了低氧血症,而输注4%白蛋白对测量值无影响。与低渗期相比,联合应用甲泼尼龙(30毫克/千克)和贺斯输注显著提高了动脉和静脉氧分压,超过了基础值。

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