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一种用于研究血流与药物处置之间相互作用的绵羊实验准备。III:全身麻醉和脊髓麻醉对局部血流和氧张力的影响。

A sheep preparation for studying interactions between blood flow and drug disposition. III: Effects of general and spinal anaesthesia on regional blood flow and oxygen tensions.

作者信息

Runciman W B, Mather L E, Ilsley A H, Carapetis R J, Upton R N

出版信息

Br J Anaesth. 1984 Nov;56(11):1247-58. doi: 10.1093/bja/56.11.1247.

Abstract

In awake unrestrained sheep the infusions i.v. of five drugs (cefoxitin, pethidine, chlormethiazole, tocainide and lignocaine) with potentially flow-limited clearance were shown to have no significant haemodynamic effects of their own, nor to have any effects on arterial or venous oxygen tensions. Under general anaesthesia (1.5% end-tidal halothane), haemodynamic changes similar to those previously documented in man occurred. Cardiac output and hepatic blood flow were decreased to 70%, and renal blood flow to 50% of control values; heart rate was unchanged and mean arterial pressure decreased by an average of 10%. Hepatic and renal vein oxygen tensions were decreased significantly. Under spinal anaesthesia, apart from a 10% decrease in hepatic blood flow, there were no significant changes in any haemodynamic variables or in the arterial or in any of the venous oxygen tensions. The i.v. infusion of adequate volumes of saline at the time of blockade probably contributed to the maintenance of these indices at their baseline values.

摘要

在清醒自由活动的绵羊中,静脉输注五种具有潜在流量限制清除率的药物(头孢西丁、哌替啶、氯美噻唑、妥卡尼和利多卡因),结果显示这些药物本身没有显著的血流动力学效应,对动脉或静脉血氧张力也没有任何影响。在全身麻醉(呼气末氟烷浓度为1.5%)下,出现了与先前在人体中记录的类似的血流动力学变化。心输出量和肝血流量降至对照值的70%,肾血流量降至对照值的50%;心率未变,平均动脉压平均下降10%。肝静脉和肾静脉血氧张力显著降低。在脊髓麻醉下,除肝血流量下降10%外,任何血流动力学变量以及动脉或任何静脉血氧张力均无显著变化。在阻断时静脉输注足够量的生理盐水可能有助于将这些指标维持在基线值。

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