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甲氧氟烷麻醉、四环素治疗及外科手术后犬血清无机氟与肾功能的研究

Serum inorganic fluoride and renal function in dogs after methoxyflurane anesthesia, tetracycline treatment, and surgical manipulation.

作者信息

Fleming J T, Pedersoli W M

出版信息

Am J Vet Res. 1980 Dec;41(12):2025-9.

PMID:7212437
Abstract

Effects of 2 hours of methoxyflurane-induced anesthesia in 25 dogs were determined by serum inorganic fluoride, serum urea nitrogen, serum creatinine, water intake, urine excretion, and urine specific gravity measurements; arterial concentrations of the anesthetic were also determined. The dogs were allotted to 5 groups (PTM, CTM, PTML, CTML, ML) of 5 dogs in each group and were anesthetized (M, in group designations) for 2 hours. The dogs were injected with chemically pure tetracycline or commercial tetracycline (PT and CT, in group designations) before, on the day of, and after anesthesia. In 3 groups, laparotomy (L, in group designations) was done; group ML did not receive tetracycline but a laparotomy was performed. Serum inorganic fluoride increased (P less than 0.05) in all groups 24 hours after anesthesia when compared with the base-line values; the highest mean serum concentration was 81.1 +/- 7.91 mumol/L (group PTM) and the lowest was 32.7 +/- 4.53 mumol/L (group PTML). There was no difference (P greater than 0.05) seen in serum urea nitrogen concentrations between groups. Methoxyflurane and tetracycline treatment caused no difference (P greater than 0.05) on serum concentrations of inorganic fluoride and urea nitrogen. Serum creatinine concentrations differed (P less than 0.05) only for groups PTM, CTM, PTML, and CTML vs group ML. Water intake reached peak at 48 hours after anesthesia. Arterial concentrations of methoxyflurane determined at 60 and 120 minutes of anesthesia indicated no difference (P greater than 0.05) among groups. Neither clinical nor laboratory signs of severe kidney dysfunction were detected in any of the experimental dogs during a 5-day observation period after anesthesia.

摘要

通过测定血清无机氟、血清尿素氮、血清肌酐、水摄入量、尿液排泄量和尿比重,确定了25只犬2小时甲氧氟烷诱导麻醉的效果;还测定了麻醉剂的动脉浓度。将犬分为5组(PTM、CTM、PTML、CTML、ML),每组5只犬,麻醉(组名中的M)2小时。在麻醉前、麻醉当天和麻醉后,给犬注射化学纯四环素或市售四环素(组名中的PT和CT)。3组进行了剖腹手术(组名中的L);ML组未接受四环素但进行了剖腹手术。与基线值相比,所有组在麻醉后24小时血清无机氟均升高(P<0.05);最高平均血清浓度为81.1±7.91μmol/L(PTM组),最低为32.7±4.53μmol/L(PTML组)。各组间血清尿素氮浓度无差异(P>0.05)。甲氧氟烷和四环素治疗对血清无机氟和尿素氮浓度无差异(P>0.05)。血清肌酐浓度仅PTM、CTM、PTML和CTML组与ML组不同(P<0.05)。水摄入量在麻醉后48小时达到峰值。麻醉60分钟和120分钟时测定的甲氧氟烷动脉浓度表明各组间无差异(P>0.05)。在麻醉后的5天观察期内,未在任何实验犬中检测到严重肾功能不全的临床或实验室体征。

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