Longnecker D E, Ross D C, Silver I A
Anesthesiology. 1982 Sep;57(3):177-82. doi: 10.1097/00000542-198209000-00006.
Arteriolar diameters and tissue oxygen tensions were measured in the cremaster muscles of 68 hemorrhaged rats which were anesthetized with either intramuscular ketamine, 125 mg/kg, plus 30 mg/kg supplements as needed, or enflurane, 2.2% inspired. Animals breathed room air, or room air plus enflurane, throughout the experiments. Arterioles in the cremaster muscle were identified according to successive orders of branching, and the internal diameters of first-, third-, and fourth-order vessels were measured at 30-s intervals. Cremaster muscle oxygen tension was measured polarographically with platinum-iridium microelectrodes. Mean arterial pressure was controlled at 30-35 mmHg during 30 min of hemorrhage, and maximum shed blood volumes were similar (2.6 ml/100 g) in both groups. Principal responses to hemorrhage in rats receiving enflurane were 1) constriction in first-, third-, and fourth-order arterioles, and 2) tissue hypoxia. In hemorrhaged rats receiving ketamine, the constrictor response to hemorrhage either was diminished (first-, and third-order arterioles) or abolished (fourth-order arterioles), and tissue hypoxia did not occur. The authors conclude that ketamine, as compared with enflurane, diminishes or prevents arteriolar constriction and tissue hypoxia in the cremaster muscle of hemorrhaged rats.
在68只出血大鼠的提睾肌中测量小动脉直径和组织氧张力,这些大鼠分别用125mg/kg肌肉注射氯胺酮并按需补充30mg/kg,或吸入2.2%的安氟醚进行麻醉。在整个实验过程中,动物呼吸室内空气,或室内空气加安氟醚。根据分支的连续顺序识别提睾肌中的小动脉,并每隔30秒测量一次一级、三级和四级血管的内径。用铂铱微电极通过极谱法测量提睾肌的氧张力。在出血30分钟期间,平均动脉压控制在30 - 35mmHg,两组的最大失血量相似(2.6ml/100g)。接受安氟醚的大鼠对出血的主要反应为:1)一级、三级和四级小动脉收缩;2)组织缺氧。在接受氯胺酮的出血大鼠中,对出血的收缩反应减弱(一级和三级小动脉)或消失(四级小动脉),且未发生组织缺氧。作者得出结论,与安氟醚相比,氯胺酮可减轻或预防出血大鼠提睾肌中的小动脉收缩和组织缺氧。