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氟烷麻醉期间二氧化碳浓度升高对肝血流量和肝脏氧耗的影响。

Effect of increased concentrations of carbon dioxide during halothane anaesthesia on liver blood flow and hepatic oxygen consumption.

作者信息

Thomson I A, Fitch W, Hughes R L, Campbell D

出版信息

Br J Anaesth. 1983 Dec;55(12):1231-7. doi: 10.1093/bja/55.12.1231.

Abstract

The effects of hypercapnia (during halothane anaesthesia) on the hepatic circulation and hepatic oxygen consumption were investigated in anaesthetized greyhounds. The administration of 1% halothane alone caused significant decreases in both hepatic arterial and portal venous blood flows. Hepatic oxygen consumption did not change significantly. When carbon dioxide was added to the inspired gas mixture during the continued administration of halothane, hepatic arterial blood flow showed a further decrease (P less than 0.01), while portal venous flow increased markedly. This resulted in an overall increase in total liver blood flow. Hepatic oxygen supply increased also. However, hepatic oxygen consumption increased during the periods of hypercapnia. Thus, although the hypercapnia increased the oxygen supply to the liver, there was no improvement in the supply: demand ratio.

摘要

在麻醉的灵缇犬中研究了高碳酸血症(在氟烷麻醉期间)对肝循环和肝脏氧消耗的影响。单独给予1%氟烷会导致肝动脉和门静脉血流量显著降低。肝脏氧消耗没有显著变化。在持续给予氟烷期间,当向吸入气体混合物中添加二氧化碳时,肝动脉血流量进一步降低(P小于0.01),而门静脉血流量显著增加。这导致肝脏总血流量总体增加。肝脏氧供应也增加。然而,在高碳酸血症期间肝脏氧消耗增加。因此,尽管高碳酸血症增加了肝脏的氧供应,但供应与需求的比率没有改善。

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