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肺气体栓塞对犬循环及呼吸的影响。VI. 体位对肺气体栓塞影响的作用

Effects of pulmonary gas emoblism on circulation and respiration in the dog. VI. Influence of body position on the effects of pulmonary gas embolism.

作者信息

Verstappen F T, Bernards J A, Kreuzer F

出版信息

Pflugers Arch. 1978 May 18;374(2):131-4. doi: 10.1007/BF00581293.

Abstract

In the present study the influence of body position on the effects of venous gas infusion was examined. The body position of anesthetized dogs ventilated artifically varied between supine, right-side-down and left-side-down position. Without venous gas infusion the change of body position hardly affected pulmonary arterial pressure (Pap) and alveolar CO2 fractional concentration (FACO2). However, during venous gas infusion a change of body position immediately elicited a rapid increase Pap and a decrease in FACO2 completed within a few seconds. Thereafter both variables gradually returned to their initial levels as before the change of body position. The extent of change in Pap and FACO2 due to alteration of body position depended on the initial embolic level (determined by the rate of infusion and the nature of the gas used) and on the change of body position.

摘要

在本研究中,研究了体位对静脉气体注入效果的影响。人工通气的麻醉犬的体位在仰卧位、右侧卧位和左侧卧位之间变化。在没有静脉气体注入的情况下,体位变化几乎不影响肺动脉压(Pap)和肺泡二氧化碳分数浓度(FACO2)。然而,在静脉气体注入期间,体位变化立即引起Pap迅速升高,FACO2在几秒钟内下降。此后,这两个变量逐渐恢复到体位变化前的初始水平。由于体位改变导致的Pap和FACO2的变化程度取决于初始栓塞水平(由注入速率和所用气体的性质决定)以及体位变化。

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