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内毒素休克——独特的实体还是普遍的伴随现象?

Endotoxin shock--distinct entity or universal accompaniment?

作者信息

Mee W M

出版信息

Postgrad Med J. 1969 Aug;45(526):514-7. doi: 10.1136/pgmj.45.526.514.

Abstract

If an experimental animal is subjected to graded hypotension by bleeding into a reservoir, it will usually recover if the shed blood is returned to the circulation within 2 hr. If hypotension (40 mmHg) is prolonged to 6 hr, most of the animals will die despite the return of all the blood to the circulation at the end of this period. Fine and his co-workers have suggested that this state of irreversible shock is due to endotoxaemia. Fine's evidence in support of this thesis is presented and discussed together with apparently contradictory evidence from other sources.

摘要

如果通过向贮血器放血使实验动物出现分级低血压,若在2小时内将放出的血液回输到循环中,动物通常会恢复。如果低血压(40 mmHg)持续6小时,尽管在此期间结束时将所有血液都回输到循环中,大多数动物仍会死亡。法恩及其同事认为这种不可逆休克状态是由内毒素血症引起的。本文展示并讨论了法恩支持这一论点的证据以及其他来源明显矛盾的证据。

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