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麻醉对实验性失血性休克犬血流动力学及交感肾上腺反应的影响。

The effect of anaesthesia on the haemodynamic and sympathoadrenal responses of the dog in experimental haemorrhagic shock.

作者信息

Adamicza A, Tárnoky K, Nagy A, Nagy S

出版信息

Acta Physiol Hung. 1985;65(3):239-54.

PMID:4013763
Abstract

Studies were carried out to demonstrate the effect of sodium pentobarbital and morphine-pentobarbital anaesthesia on the haemodynamic and sympathoadrenal responses of dogs in haemorrhagic shock. The results were compared to those of conscious dogs and of dogs receiving only morphine. The reactivity of the cardiovascular system to exogenous adrenaline was also studied in every group. Pentobarbital did not change the resting plasma level of catecholamines but reduced the increase of plasma catecholamines in shock. In the pentobarbital-anaesthetized dogs in which shock was less severe, the reactivity of blood vessels to adrenaline was higher than in conscious dogs. In the haemodynamic response to shock the increase of heart rate predominated in the conscious dogs while the rise of blood pressure was more pronounced in the pentobarbital-anaesthetized animals. Subcutaneously injected morphine decreased the heart rate and increased the plasma catecholamine and histamine levels. Morphine-pentobarbital anaesthesia decreased the resting arterial pressure and increased the plasma histamine level while the plasma catecholamines were near their initial levels. Morphine alone increased the plasma catecholamines, and the subsequent shock could not induce as high a sympathoadrenal response as in the conscious dogs. Pentobarbital administered following morphine decreased the plasma level of catecholamines nearly to the conscious level but could not inhibit the sympathoadrenal activation induced by shock. Anaesthesia is a significant additional factor in the evaluation of shock experiments carried out on anaesthetized animals.

摘要

开展了多项研究,以证明戊巴比妥钠和吗啡 - 戊巴比妥麻醉对失血性休克犬血流动力学和交感肾上腺反应的影响。将结果与清醒犬以及仅接受吗啡的犬的结果进行比较。还对每组动物研究了心血管系统对外源性肾上腺素的反应性。戊巴比妥不改变静息时血浆儿茶酚胺水平,但可降低休克时血浆儿茶酚胺的升高。在休克较轻的戊巴比妥麻醉犬中,血管对肾上腺素的反应性高于清醒犬。在对休克的血流动力学反应中,清醒犬以心率增加为主,而戊巴比妥麻醉动物的血压升高更为明显。皮下注射吗啡可降低心率,并增加血浆儿茶酚胺和组胺水平。吗啡 - 戊巴比妥麻醉可降低静息动脉压并增加血浆组胺水平,而血浆儿茶酚胺接近其初始水平。单独使用吗啡可增加血浆儿茶酚胺,随后的休克不会像清醒犬那样诱导出高交感肾上腺反应。吗啡后给予戊巴比妥可使血浆儿茶酚胺水平降至接近清醒水平,但不能抑制休克诱导的交感肾上腺激活。麻醉是对麻醉动物进行休克实验评估中的一个重要附加因素。

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