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麻醉犬长骨骨髓压力与动脉血氧分压、二氧化碳分压及酸碱度关系的观察

Observations on long bone medullary pressures in relation to arterial PO2, PCO2 and pH in the anaesthetized dog.

作者信息

Tøndevold E, Eriksen J, Jansen E

出版信息

Acta Orthop Scand. 1979 Dec;50(6 Pt 1):645-51. doi: 10.3109/17453677908991287.

Abstract

To investigate the influence of variations in arterial oxygen tensions (PaO2), arterial carbon dioxide tensions (PaCO2), and arterial pH on long bone medullary pressures, seven anaesthetized dogs were investigated. Comparing the control medullary pressures, i.e. the mean medullary pressures obtained at the normal range of PaO2 (75--110 mmHg) with the mean medullary pressures corresponding to the range of PaO2 of less than 75 mmHg, statistically significant (P less than 0.05) decreases were seen in both epiphyseal, metaphyseal and diaphyseal medullary pressures, from 27.6 +/- 5.0 to 15.5 +/- 3.6 mmHg, from 23.5 +/- 2.9 to 13.9 +/- 2.3 mmHg and from 27.7 +/- 3.9 to 18.3 +/- 2.5 mmHg (all mean values +/- s.e. mean), respectively. Hyperoxia, hypocapnia, hypercapnia or metabolic acidosis had no effect on medullary pressures in any of the regions studied.

摘要

为研究动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)及动脉pH值变化对长骨髓内压的影响,对7只麻醉犬进行了研究。将对照髓内压,即在正常PaO2范围(75 - 110 mmHg)下获得的平均髓内压,与对应于PaO2小于75 mmHg范围的平均髓内压进行比较,结果显示,骨骺、干骺端和骨干的髓内压均出现具有统计学意义(P < 0.05)的下降,分别从27.6 ± 5.0 mmHg降至15.5 ± 3.6 mmHg、从23.5 ± 2.9 mmHg降至13.9 ± 2.3 mmHg以及从27.7 ± 3.9 mmHg降至18.3 ± 2.5 mmHg(所有均值 ± 标准误均值)。高氧、低碳酸血症、高碳酸血症或代谢性酸中毒对所研究的任何区域的髓内压均无影响。

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