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[健康男性在抗重力性低动力状态下中度失血及输血后区域血流动力学和气体交换的变化]

[Changes in regional hemodynamics and gas exchange in healthy males after moderate blood loss and blood reinfusion in response to antiorthostatic hypokinesia].

作者信息

Vorob'ev V E, Goncharov I B, Kovachevich I V, Davydkin A F

出版信息

Kosm Biol Aviakosm Med. 1985 Jan-Feb;19(1):45-8.

PMID:3974184
Abstract

Nine healthy male test subjects were exposed for 7 days to head-down tilting. Within 2 hours after exposure 500 ml of blood were withdrawn. This reduced pulse blood filling of all lung compartments, particularly upper (P less than 0.05) compartments, and decreased slightly finger circulation. The blood losses were then substituted but 2 hours after blood reinfusion the rheographic parameters of pulmonary circulation were still lower than before blood losses. In arterial blood pCO2 remained lower (P less than 0.05) and the deficiency of bases increased (P less than 0.05). It can be concluded that in the above situation blood reinfusion in the amount exceeding blood losses should be viewed adequate. On the basis of the results obtained increased blood content of the lungs in the course of head-down tilt can be interpreted as a reflex mechanism of blood pooling in the body.

摘要

九名健康男性受试对象接受了7天的头低位倾斜。暴露后2小时内抽取500毫升血液。这减少了所有肺腔室的脉搏血充盈,尤其是上肺腔室(P<0.05),并使手指循环略有减少。然后补充失血,但输血后2小时肺循环的血流图参数仍低于失血前。动脉血中pCO2仍然较低(P<0.05),碱缺乏增加(P<0.05)。可以得出结论,在上述情况下,输入超过失血量的血液应被视为足够。根据所得结果,头低位倾斜过程中肺血含量增加可解释为体内血液淤积的一种反射机制。

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