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氟烷麻醉马匹输注多巴胺期间的代谢、激素及血流动力学变化。

Metabolic, hormonal, and hemodynamic changes during dopamine infusions in halothane anesthetized horses.

作者信息

Robertson S A, Malark J A, Steele C J, Chen C L

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, USA.

出版信息

Vet Surg. 1996 Jan-Feb;25(1):88-97. doi: 10.1111/j.1532-950x.1996.tb01383.x.

Abstract

Selected metabolites, hormones and cardiovascular variables were measured in halothane anesthetized horses during 1 hour of dopamine infusion at a rate of 5 micrograms/kg/min (low) and 10 micrograms/kg/min (high), and for 1 hour after infusion. Plasma cortisol increased twofold in the low-infusion group but did not change significantly in the high-infusion group. Plasma nonesterified fatty acids, blood glucose, blood lactate, and plasma insulin increased in the high-infusion group. There was little difference in heart rate, systolic, diastolic, and mean arterial blood pressure between the two groups. The high infusion was associated with arrhythmias in several horses, and one horse showed ventricular fibrillation and died. If metabolic and hormonal changes are used as markers of a "stress response" in anesthetized horses the results must be carefully interpreted if a sympathomimetic agent such as dopamine is administered to maintain cardiovascular stability.

摘要

在氟烷麻醉的马匹中,以5微克/千克/分钟(低剂量)和10微克/千克/分钟(高剂量)的速率输注多巴胺1小时,并在输注后1小时测量选定的代谢物、激素和心血管变量。低剂量输注组血浆皮质醇增加了两倍,而高剂量输注组无显著变化。高剂量输注组血浆非酯化脂肪酸、血糖、血乳酸和血浆胰岛素增加。两组之间心率、收缩压、舒张压和平均动脉血压差异不大。高剂量输注与几匹马的心律失常有关,一匹马出现心室颤动并死亡。如果将代谢和激素变化用作麻醉马匹“应激反应”的标志物,那么在使用多巴胺等拟交感神经药物维持心血管稳定性时,必须谨慎解释结果。

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