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血小板减少对未麻醉绵羊肺对内毒素血症反应的影响。

Effects of platelet depletion on the unanesthetized sheep's pulmonary response to endotoxemia.

作者信息

Snapper J R, Hinson J M, Hutchison A A, Lefferts P L, Ogletree M L, Brigham K L

出版信息

J Clin Invest. 1984 Nov;74(5):1782-91. doi: 10.1172/JCI111597.

Abstract

The effect of platelet depletion on the unanesthetized sheep's pulmonary response to endotoxemia was studied in eight unanesthetized sheep. Platelets were depleted with rabbit anti-sheep platelet antibodies (APA). Bolus injections of APA alone caused marked pulmonary hypertension (PPA increased from 21 +/- 2 to 62 +/- 5 cm H2O +/- SE) and alterations in lung mechanics (dynamic compliance of the lung [Cdyn] decreased to 38.5 +/- 4.6% and resistance to air flow across the lung [RL] increased to 705 +/- 162% +/- SE of control), which were attenuated by pretreatment with meclofenamate. It was possible to deplete platelets before endotoxemia through a slow continuous infusion of APA without altering base-line values of the measured variables. Platelet depletion did not significantly attenuate the alterations in pulmonary hemodynamics, lung mechanics, lung fluid and solute exchange, or the normal increase in lung lymph concentrations of thromboxane B2 or 6-keto-PGF1 alpha observed following endotoxemia in the sheep. We conclude that normal circulating platelet counts are not required for the full expression of the sheep's response to endotoxemia.

摘要

在八只未麻醉的绵羊中研究了血小板减少对未麻醉绵羊肺对内毒素血症反应的影响。用兔抗绵羊血小板抗体(APA)使血小板减少。单独静脉注射APA可引起明显的肺动脉高压(平均肺动脉压从21±2厘米水柱增加到62±5厘米水柱±标准误)和肺力学改变(肺动态顺应性[Cdyn]降至对照值的38.5±4.6%,肺气流阻力[RL]增加到对照值的705±162%±标准误),而甲氯芬那酸预处理可减轻这些变化。在内毒素血症前通过缓慢持续输注APA可以使血小板减少,而不改变所测变量的基线值。血小板减少并未显著减轻绵羊内毒素血症后观察到的肺血流动力学、肺力学、肺液体和溶质交换的改变,或肺淋巴中血栓素B2或6-酮-前列环素F1α正常升高。我们得出结论,绵羊对内毒素血症反应的充分表达不需要正常循环血小板计数。

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