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犬失血性休克。单纯失血治疗与失血加乳酸林格氏液治疗的比较:血管内压力、心输出量、氧耗量、动静脉氧差、细胞外液氧分压、电解质变化及生存率。

Hemorrhagic shock in dogs. Comparison of treatment with shed blood alone versus shed blood plus Ringer's lactate: intravascular pressures, cardiac output, oxygen consumption, arteriovenous oxygen differences, extracellular fluid PO2, electrolyte changes, and survival rates.

作者信息

Zollman W, Culpepper R D, Turner M D, Hardy J A, Hardy J D

出版信息

Am J Surg. 1976 Mar;131(3):298-305. doi: 10.1016/0002-9610(76)90121-5.

Abstract

The purpose of our study of hemorrhagic shock in dogs was to examine the efficacy of adding Ringer's lactate to shed blood replacement in increasing animal rates. The standard Wiggers' hemorrhagic shock technic was used in two groups of ten animals each. Intravascular pressures, cardiac outut, oxygen consumption, arteriovenous oxygen differences, extracellular fluid PO2 and pH, electrolyte changes, and survival rates were determined. There was a positive correlation between changes in cardiac output, central venous oxygen content, and PO2 and extracellular fluid PO2 as measured using subcutaneously implanted Silastic tubing and perforated plastic balls. Four of the dogs that received shed blood alone survived, whereas five of the dogs that received shed blood plus Ringer's lactate survived. This difference was not statistically significant.

摘要

我们对犬失血性休克进行研究的目的是检验在补充失血时添加乳酸林格液对提高动物存活率的效果。两组各十只动物均采用标准的维格斯失血性休克技术。测定血管内压力、心输出量、氧耗量、动静脉氧差、细胞外液PO₂和pH值、电解质变化及存活率。使用皮下植入的硅橡胶管和多孔塑料球测量时,心输出量、中心静脉氧含量、PO₂的变化与细胞外液PO₂之间存在正相关。仅接受失血补充的四只犬存活,而接受失血加乳酸林格液的五只犬存活。这种差异无统计学意义。

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