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急性出血对犬骨骼肌氧供应的影响。

Effects of acute bleeding on oxygen supply to the skeletal muscle in dogs.

作者信息

Fontijne W P, Mook P H, Elstrodt J M, Wildevuur C R

出版信息

Eur Surg Res. 1985;17(1):61-8. doi: 10.1159/000128448.

Abstract

To study the effect of acute bleeding on the oxygen supply to the skeletal muscle, heparinized dogs were bled via an arterial cannula until mean arterial pressures of 25 and 50 mm Hg below initial value were reached. The shed blood was retransfused in reverse (50, 25 mm Hg) after correction of the acid-base imbalance in the dogs. Oxygen supply to the skeletal muscle was measured by means of a multiwire polarographic electrode placed on the sartorius muscle and was evaluated by means of ptO2 histograms. The ptO2 histograms showed that the oxygen supply to the skeletal muscle is severely impaired after a decrease in mean arterial pressure of 25 mm Hg. Further impairment was seen after a decrease in pressure of 50 mm Hg. During retransfusion tissue oxygenation was normalized only after all shed blood was retransfused and the initial mean arterial pressure was reached.

摘要

为研究急性失血对骨骼肌氧供的影响,对肝素化的犬通过动脉插管放血,直至平均动脉压降至比初始值低25和50 mmHg。在纠正犬的酸碱失衡后,将放出的血液反向回输(50、25 mmHg)。通过置于缝匠肌上的多丝极谱电极测量骨骼肌的氧供,并通过组织氧分压(ptO2)直方图进行评估。ptO2直方图显示,平均动脉压降低25 mmHg后,骨骼肌的氧供严重受损。平均动脉压降低50 mmHg后,可见进一步受损。在回输过程中,只有在所有放出的血液都回输且达到初始平均动脉压后,组织氧合才恢复正常。

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