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肢体止血带缺血对牛局部和全身酸碱平衡及血气的影响。

Effects of limb tourniquet ischemia on local and systemic acid-base and blood gases of cattle.

作者信息

Singh A P, Singh J, Peshin P K, Nigam J M, Chawla S K

出版信息

Can J Comp Med. 1982 Oct;46(4):405-9.

Abstract

Effects of forelimb tourniquet ischemia of 90 minute duration were investigated in six bulls aged two to three years. Studies were also conducted up to 150 minutes after release of the tourniquet. Parameters investigated were pH, PCO2, PO2, oxygen saturation and HCO3. In systemic circulation no variations in different parameters were observed during 90 minutes of ischemia. However, significant increase in arterial and venous pH were observed after 30 and 45 minutes of the release of tourniquet, respectively. These increases were accompanied by an increase in HCO3. In the affected limb, ischemia resulted in severe acidosis with a significant increase in PCO2 and a nonsignificant decrease of HCO3. There was a significant fall in PO2 and oxygen saturation. After release of the tourniquet, limb venous pH increased significantly due to a significant fall in PCO2 and a nonsignificant increase in HCO3. A significant increase in the limb venous PO2 and oxygen saturation post tourniquet was observed up to the end of the experiments. There was evidence of very poor oxygen exchange and utilization up to 150 minutes after release of the tourniquet. These results demonstrated that tourniquet ischemia of 90 minutes duration of the limb of cattle may not be safe.

摘要

对6头2至3岁公牛进行了为期90分钟的前肢止血带缺血影响的研究。在止血带松开后长达150分钟也进行了研究。所研究的参数有pH值、二氧化碳分压(PCO2)、氧分压(PO2)、氧饱和度和碳酸氢根(HCO3)。在全身循环中,缺血90分钟期间未观察到不同参数的变化。然而,分别在止血带松开30分钟和45分钟后,观察到动脉和静脉pH值显著升高。这些升高伴随着HCO3的增加。在受影响的肢体中,缺血导致严重酸中毒,PCO2显著升高,HCO3无显著下降。PO2和氧饱和度显著下降。止血带松开后,由于PCO2显著下降和HCO3无显著增加,肢体静脉pH值显著升高。在实验结束前,观察到止血带松开后肢体静脉PO2和氧饱和度显著增加。有证据表明,在止血带松开后150分钟内,氧交换和利用非常差。这些结果表明,牛肢体90分钟的止血带缺血可能不安全。

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