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内毒素输注对驴的血流动力学反应及美洛昔康给药对其心脏功能的影响。

Hemodynamic Response to Lipopolysaccharide Infusion and Effect of Meloxicam Administration on Cardiac Function in Donkeys.

作者信息

Mendoza Francisco J, Buzon-Cuevas Antonio, Aguilera-Aguilera Raul, Gonzalez-De Cara Carlos A, De Las Heras Adelaida, Perez-Ecija Alejandro

机构信息

Department of Animal Medicine and Surgery, University of Cordoba, 14014 Cordoba, Spain.

Egabro Veterinary Center, Cabra, 14940 Cordoba, Spain.

出版信息

Animals (Basel). 2024 Dec 18;14(24):3660. doi: 10.3390/ani14243660.

Abstract

Systemic inflammatory response syndrome (SIRS) in donkeys is observed to be secondary to colic, diarrhea or pleuropneumonia, among other disorders. Horses with SIRS develop secondary disturbances such as hyperlipemia, laminitis, disseminated intravascular coagulopathy, and hemodynamic and cardiac derangements, which impair their prognosis and increase the mortality rate. In donkeys, no information is available on the effect of experimentally induced endotoxemia in the cardiovascular system. Acute experimental endotoxemia was induced by lipopolysaccharide (LPS) infusion in six healthy adult non-pregnant jennies. Physical signs, arterial (systolic, diastolic and mean) and central venous pressure were monitored during 360 min. Cardiac troponin I (cTnI) concentrations were measured in blood samples, and echocardiography was performed. LPS infusion caused an increase in cTnI, hypotension and diminution of central venous pressure, cardiac dysfunction, with a decrease in stroke volume (SV), cardiac output (CO) and cardiac index, and impairment of ultrasonographic ventricular function parameters. Intravenous meloxicam administration prevented the cTnI increase, hypotension, diminution of SV and CO, and changes in ultrasonographic parameters related to ventricular dysfunction. Thus, meloxicam could be proposed as an effective therapeutical option to control the hemodynamic and cardiac derangements observed in donkeys with SIRS.

摘要

在驴身上,全身炎症反应综合征(SIRS)被观察到继发于绞痛、腹泻或胸膜炎性肺炎等疾病。患有SIRS的马会出现继发性紊乱,如高脂血症、蹄叶炎、弥散性血管内凝血以及血流动力学和心脏功能紊乱,这些会损害其预后并增加死亡率。在驴身上,关于实验性诱导内毒素血症对心血管系统影响的信息尚不存在。通过向六只健康成年未孕母驴输注脂多糖(LPS)诱导急性实验性内毒素血症。在360分钟内监测身体体征、动脉(收缩压、舒张压和平均压)和中心静脉压。测量血样中的心肌肌钙蛋白I(cTnI)浓度,并进行超声心动图检查。LPS输注导致cTnI升高、低血压和中心静脉压降低、心脏功能障碍,伴每搏输出量(SV)、心输出量(CO)和心脏指数下降,以及超声心动图心室功能参数受损。静脉注射美洛昔康可预防cTnI升高、低血压、SV和CO降低以及与心室功能障碍相关的超声心动图参数变化。因此,美洛昔康可被提议作为一种有效的治疗选择,以控制在患有SIRS的驴身上观察到的血流动力学和心脏功能紊乱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3d2/11672460/2fceb7fb76c6/animals-14-03660-g003.jpg

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