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[速尿给药对兔离体肺液体滤过率及肺动脉压的影响]

[Effect of the administration of furosemide on the fluid filtration rate and in pulmonary artery pressure in isolated lungs of rabbits].

作者信息

Rosales Romero A M, Curiel Zarraga C, Pluchino S, Tristano S, Sánchez De León R

机构信息

Instituto de Medicina Experimental, U.C.V.

出版信息

Acta Cient Venez. 1994;45(2):102-5.

PMID:8731293
Abstract

To study the possible effects of Furosemide at the lung level, two groups of isolated rabbit lung preparation were studied. An experimental group underwent a pulmonary hydrostatic oedema when the pressure of the left auricle (PAI) was increased from 0.45 +/- 0.74 t0 11.8 +/- 2.9 cm of H2O, with that increase in PAI we obtained an increase of 0.457 +/- 0.51 g/min in FFR (Fluid Filtration Rate), during this stable and sustained oedema, a 2 mg/Kg dosis of Furosemide was injected every 10 minutes and the possible changes in PAP, PAI, PVA, TFL, PaO2, PaCO2 and pH was observed, but no changes were observed in these parameters during the Furosemide infusion, and the same effect was observed in the control group were the preparations were maintained in basal conditions and without oedema. These results suggests that the Furosemide hat not a direct cardio-pulmonary effects, and the only possible effects could be by increasing diuresis at renal level.

摘要

为研究呋塞米在肺部可能产生的影响,对两组离体兔肺标本进行了研究。当左心房压力(PAI)从0.45±0.74升高至11.8±2.9 cmH₂O时,实验组出现了肺水肿,随着PAI的升高,我们观察到液体滤过率(FFR)增加了0.457±0.51 g/min。在这种稳定且持续的水肿过程中,每10分钟注射2 mg/kg剂量的呋塞米,并观察肺动脉压(PAP)、左心房压力(PAI)、肺静脉压(PVA)、总滤过液(TFL)、动脉血氧分压(PaO₂)、动脉血二氧化碳分压(PaCO₂)和pH值的可能变化,但在呋塞米输注期间这些参数未观察到变化,在对照组也观察到了相同的效果,对照组的标本保持在基础状态且无水肿。这些结果表明,呋塞米没有直接的心肺效应,唯一可能的效应可能是通过增加肾脏的利尿作用。

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