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牛新生仔畜内毒素血症的临床、血液学和代谢变量变化

Alterations in clinical, hematological and metabolic variables in bovine neonatal endotoxemia.

作者信息

Gerros T C, Semrad S D, Proctor R A

机构信息

Department of Medical Science, School of Veterinary Medicine, University of Wisconsin, Madison 53706.

出版信息

Can J Vet Res. 1995 Jan;59(1):34-9.

Abstract

Endotoxemia is an important cause of morbidity and mortality in the neonate. Although many models are used to study the problem, none completely simulates the natural disease. To more clearly define a bovine neonatal endotoxemia model we studied the effects of dose of endotoxin on clinical, hematological and biochemical variables. Thirty-four neonatal calves were administered Escherichia coli endotoxin (LPS) at 0 (0.9% saline solution), 0.2, 2.0 or 20 micrograms/kg, by either IV bolus or infusion over 50 minutes. Variables monitored included mean arterial blood pressure (MAP), leukocyte (WBC) count, plasma glucose and lactate concentrations and clinical status. All LPS-treated calves displayed similar clinical signs within one hour. Dose-dependent differences in response to LPS among groups became evident over time. Substantial dose-dependent changes in attitude, appetite, mucous membrane character, capillary refill time, MAP, plasma glucose and lactate concentrations, and WBC count were noted in LPS-treated calves. Higher doses of LPS induced a more prolonged clinical response and significantly (p < 0.05) greater hypotension, lacticemia and hypoglycemia. While dose altered the response to endotoxin, the method of administration had no overall effect on the variables measured.

摘要

内毒素血症是新生儿发病和死亡的重要原因。尽管有许多模型用于研究该问题,但没有一个能完全模拟自然疾病。为了更清楚地定义一种牛新生儿内毒素血症模型,我们研究了内毒素剂量对临床、血液学和生化指标的影响。34头新生小牛通过静脉推注或在50分钟内输注,分别给予0(0.9%盐溶液)、0.2、2.0或20微克/千克的大肠杆菌内毒素(LPS)。监测的指标包括平均动脉血压(MAP)、白细胞(WBC)计数、血浆葡萄糖和乳酸浓度以及临床状态。所有接受LPS治疗的小牛在1小时内均表现出相似的临床症状。随着时间的推移,各治疗组对LPS反应的剂量依赖性差异变得明显。在接受LPS治疗的小牛中,观察到态度、食欲、黏膜特征、毛细血管再充盈时间、MAP、血浆葡萄糖和乳酸浓度以及WBC计数存在显著的剂量依赖性变化。较高剂量的LPS诱导了更长时间的临床反应,并显著(p<0.05)加重了低血压、乳酸性血症和低血糖。虽然剂量改变了对内毒素的反应,但给药方法对所测指标没有总体影响。

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本文引用的文献

1
ESCHERICHIA COLI AND NEONATAL DISEASE OF CALVES.大肠杆菌与犊牛的新生儿疾病
Bacteriol Rev. 1965 Mar;29(1):75-101. doi: 10.1128/br.29.1.75-101.1965.
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Molecular aspects of endotoxic reactions.内毒素反应的分子层面
Bacteriol Rev. 1969 Mar;33(1):72-98. doi: 10.1128/br.33.1.72-98.1969.
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The effects of Escherichia coli endotoxin in calves.
Res Vet Sci. 1972 Nov;13(6):546-53.

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