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[不同持续时间烧伤休克导致兔心肌收缩活动的变化]

[Change in the contractile activity of the rabbit myocardium as a result of burn shock of different duration].

作者信息

Vasilets L A, Vornovitskiĭ E G, Khodorov B I

出版信息

Biull Eksp Biol Med. 1979 May;87(5):402-5.

PMID:454813
Abstract

Experiments were carried out on the papillary muscles prepared from the rabbit heart 10, 60 or 180 minutes after exposure of the animals to thermal burn. Isometric tension in the changing stimulation frequency of the preparation (the range being 0.1-2.0 Hz) and in post-stimulating potentiation was recorded. It was shown that the disturbance degree of the myocardial contractile activity caused by the burn rose depending on increased shock duration. It was evidenced by the following findings: in all the papillary muscles prepared 3 hours after burn and in 50% of the preparations taken one hour after the injury the "biphasic" dependence frequency power (F-P) peculiar to healthy myocardium changed to "monophasic" one (contraction amplitude progressively decreased on the frequency growing), and poststimulating potentiation, absent in the normal myocardium state, appeared. Within 10-minute shock duration only several preparations revealed poststimulating potentiation, F-P changes being absent. Normal rhythmoinotropic relationships in the myocardium restored under the influence of two-fol increase of (Ca2+)o or under prolonged (3-4 hours) perfusion of the preparation with normal Tyrode's solution. The changes observed in the myocardium rhythmoinotropic relationships produced by the burn shock were similar to those occurred as a result of the calcium canals block by the compound D-600.

摘要

对暴露于热烧伤后10、60或180分钟的兔心脏制备的乳头肌进行实验。记录了制剂刺激频率变化(范围为0.1 - 2.0 Hz)和刺激后增强时的等长张力。结果表明,烧伤引起的心肌收缩活动的紊乱程度随休克持续时间的增加而升高。以下发现证明了这一点:在烧伤后3小时制备的所有乳头肌以及损伤后1小时制备的50%的制剂中,健康心肌特有的“双相”依赖频率功率(F - P)转变为“单相”(收缩幅度随频率增加而逐渐降低),并且出现了正常心肌状态下不存在的刺激后增强。在休克持续10分钟时,只有少数制剂显示出刺激后增强,F - P变化不存在。在(Ca2 +)o增加两倍的影响下或用正常台氏液对制剂进行长时间(3 - 4小时)灌注后,心肌中的正常节律性变力关系得以恢复。烧伤休克引起的心肌节律性变力关系的变化与化合物D - 600阻断钙通道所导致的变化相似。

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