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脑脊液压力急性升高对家兔肺顺应性的影响。

Effect of an acute increase in cerebrospinal fluid pressure on lung compliance in the rabbit.

作者信息

Davidson J T, Cotev S, Frenkiel Y

出版信息

Br J Anaesth. 1979 Oct;51(10):915-20. doi: 10.1093/bja/51.10.915.

Abstract

Cerebrospinal fluid pressure (Pcsf) was increased acutely by the injection of normal saline into the cisterna magna of anaesthetized rabbits to values which interrupted cerebral flow. When increased Pcsf was maintained for a minimum of 3 min, static lung compliance decreased and lung weight (after sacrifice) increased without marked change in arterial blood-gas tensions. The magnitude of the increase in Pcsf did not affect the change in compliance and weight. There was marked unexplained metabolic acidosis. The pulmonary findings may result from a massive shift of blood from the systemic to the pulmonary circulation leading to increased permeability of the interendothelial junctions of the pulmonary capillaries.

摘要

通过向麻醉兔的枕大池注射生理盐水,急性增加脑脊液压力(Pcsf)至中断脑血流的值。当升高的Pcsf维持至少3分钟时,静态肺顺应性降低,肺重量(处死后)增加,而动脉血气张力无明显变化。Pcsf升高的幅度不影响顺应性和重量的变化。出现明显的无法解释的代谢性酸中毒。肺部的这些表现可能是由于大量血液从体循环转移到肺循环,导致肺毛细血管内皮间连接的通透性增加所致。

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