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内毒素诱导的小马血液学和血液化学变化:氟尼辛葡甲胺、地塞米松和泼尼松龙的影响

Endotoxin-induced hematologic and blood chemical changes in ponies: effects of flunixin meglumine, dexamethasone, and prednisolone.

作者信息

Ewert K M, Fessler J F, Templeton C B, Bottoms G D, Latshaw H S, Johnson M A

出版信息

Am J Vet Res. 1985 Jan;46(1):24-30.

PMID:3882028
Abstract

To evaluate the effect of certain drugs on hematologic changes, blood chemical values, and survival in endotoxin shock, anesthetized ponies were given (IV) endotoxin (Escherichia coli O55:B5) and then treated as follows: Group A ponies--given a saline infusion at 5 minutes and at 3 hours after they were given endotoxin; group B ponies--given flunixin meglumine at 5 minutes and at 3, 6, 9, and 24 hours after they were given endotoxin; group C ponies--treated with dexamethasone; and group D ponies--treated with prednisolone at 5 minutes and at 3, 9, and 24 hours after they were given endotoxin. Anesthesia was maintained for 4 hours, after which time the ponies were allowed to recover. Throughout the experiment, samples of blood were collected for blood gas, hematologic, and blood chemical values. The endotoxin effects were seen in the 4 groups: lactic acidosis, prolonged coagulation times, leukopenia, hemoconcentration, and elevated blood chemical values. Although none of the treatments prevented the effects of endotoxin, changes were less severe and survival times were longer in ponies treated with flunixin meglumine.

摘要

为评估某些药物对内毒素休克时血液学变化、血液化学值及存活率的影响,对麻醉后的小马静脉注射内毒素(大肠杆菌O55:B5),然后按如下方式进行治疗:A组小马——在内毒素注射后5分钟和3小时给予生理盐水输注;B组小马——在内毒素注射后5分钟以及3、6、9和24小时给予氟尼辛葡甲胺;C组小马——用地塞米松治疗;D组小马——在内毒素注射后5分钟以及3、9和24小时用泼尼松龙治疗。麻醉维持4小时,之后让小马恢复。在整个实验过程中,采集血液样本检测血气、血液学及血液化学值。在内毒素休克的4组中均出现了以下效应:乳酸酸中毒、凝血时间延长、白细胞减少、血液浓缩以及血液化学值升高。尽管没有一种治疗方法能预防内毒素的效应,但氟尼辛葡甲胺治疗的小马上述变化较轻且存活时间更长。

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