Van der Meer C, Valkenburg P W
Arch Int Pharmacodyn Ther. 1979 Mar;238(1):154-64.
The effect of bleeding against a predetermined pressure on the relative oxygen tension in the kidney was studied in rats anesthetized with either pentobarbital-Na or ethylurethane. In rats bled either for 30 min against 40 mm Hg or for 60 min against 50 mm Hg, the fall in the relative oxygen tension was significantly less during anesthesia with pentobarbital-Na, a highly potent protector against the occurrence of kidney lesions, than during anesthesia with ethylurethane, which possesses only slight protective potency. When rats anesthetized with ethylurethane were allowed to breathe oxygen the relative oxygen tension in the kidney was increased only for 15 to 20 min and accordingly the severity of the kidney lesions was decreased only when the animals were bled for 30 min at 40 mm Hg. When a number of different bleeding schedules were applied, a correlation was found between the average relative oxygen tension during bleeding and the incidence and degree of kidney lesions observed, irrespective of either the bleeding schedule or the anesthetic used. It is concluded that hypoxia may be a major factor in determining the occurrence of kidney lesions after bleeding and that the protective effect of anesthetics depends on their ability to diminish the fall in oxygen tension in the kidney during bleeding.
在戊巴比妥钠或氨基甲酸乙酯麻醉的大鼠中,研究了在预定压力下出血对肾脏相对氧张力的影响。在以40毫米汞柱压力出血30分钟或以50毫米汞柱压力出血60分钟的大鼠中,戊巴比妥钠麻醉期间相对氧张力的下降明显小于氨基甲酸乙酯麻醉期间,戊巴比妥钠是预防肾损伤发生的高效保护剂,而氨基甲酸乙酯仅具有轻微的保护作用。当用氨基甲酸乙酯麻醉的大鼠吸入氧气时,肾脏中的相对氧张力仅增加15至20分钟,因此,只有当动物以40毫米汞柱压力出血30分钟时,肾损伤的严重程度才会降低。当采用多种不同的出血方案时,发现出血期间的平均相对氧张力与观察到的肾损伤的发生率和程度之间存在相关性,而与出血方案或所用麻醉剂无关。得出的结论是,缺氧可能是决定出血后肾损伤发生的主要因素,麻醉剂的保护作用取决于它们在出血期间减少肾脏氧张力下降的能力。