气动裤对伴有颅内肿块的低血容量犬颅内压的影响。

Effect of pneumatic trousers on intracranial pressure in hypovolemic dogs with an intracranial mass.

作者信息

Dannewitz S R, Lilja G P, Ruiz E

出版信息

Ann Emerg Med. 1981 Apr;10(4):176-81. doi: 10.1016/s0196-0644(81)80155-2.

Abstract

Thirty-six dogs under chloralose anesthesia were studied in groups of six. Arterial pressure (BP), central venous pressure (CVP), intracranial pressure (ICP), and arterial blood gases were monitored. The group underwent: 1) anesthesia only; 2) phlebotomy (P) (40% of blood volume) and reinfusion (RI) of half the shed blood plus Ringer's lactate solution; 3) P followed by pneumatic trousers (PT), and then RI; 4) inflation of an epidural 2-cc Foley catheter (EFC); 5) P followed by EFC and then RI; and 6) P followed by EFC and then by PT and RI. Group 1 was stable. In Group 2, P lowered BP (49 torr systolic +/- 6 SEM), CVP, and ICP. RI restored these. In Group 3, the PT improved BP (P less than .05) without increasing ICP. In Group 4, EFC increased ICP (P less than .05) to 15 +/- 4 torr. In Groups 5 and 6, ICP was not significantly increased by EFC or PT and RI.

摘要

36只处于水合氯醛麻醉状态的狗被分成6组进行研究。监测动脉压（BP）、中心静脉压（CVP）、颅内压（ICP）和动脉血气。这些组分别接受以下处理：1）仅麻醉；2）放血（P）（血量的40%）并回输一半放出的血液加乳酸林格液；3）先放血，然后使用气动裤（PT），再回输；4）向硬膜外插入2毫升福勒尿管（EFC）；5）先放血，然后插入EFC，再回输；6）先放血，然后插入EFC，接着使用PT并回输。第1组情况稳定。第2组中，放血使收缩压降低（49托±6标准误）、CVP和ICP下降。回输使其恢复。第3组中，气动裤使血压升高（P<0.05）且未使ICP升高。第4组中，EFC使ICP升高（P<0.05）至15±4托。第5组和第6组中，EFC、PT及回输未使ICP显著升高。