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幼猪失血性休克的经验(作者译)

[Experiences with the hemorrhagic shock in immature pigs (author's transl)].

作者信息

Becker H, Hottenrott C, Seufert R M, Gerstenbergk L

出版信息

Res Exp Med (Berl). 1977 Jun 29;170(2):125-31. doi: 10.1007/BF01851383.

Abstract

In 74 immature pigs a hemorrhagic shock (3 hrs duration: mean arterial pressure 40 mm Hg) was established (NORTON 1972). Following this systemic stress all animals developed stress-lesions of stomach and duodenum. In comparison to other stress-models porcine hemorrhagic shock seems to be qualified to study pathogenesis, prophylaxis and therapy of gastric stress-lesions: Pigs correspond best to humans in their gastro-intestinal physiology, hypotension simulates one of the most important surgical causes of stress complications and stress-lesion produced by this model have a marked similarity to those of humans. In contrast to these advantages there are some problems in using this model: Prompt and dangerous electrolyte imbalance following correction of disturbances in acid base equilibrium; irreversible shock following protracted hypotension (3 hrs). For this reason 19% of all piglets died before (1 animal), during (10 animals) or immediately after shock (3 animals). By careful observation of the mentioned problems, however, this experimental model combines a high incidence of stress-lesions with a low rate of casualities.

摘要

在74只未成年猪身上建立了失血性休克模型(持续3小时,平均动脉压40毫米汞柱)(诺顿,1972年)。经历这种全身性应激后,所有动物都出现了胃和十二指肠的应激性损伤。与其他应激模型相比,猪失血性休克似乎适合用于研究胃应激性损伤的发病机制、预防和治疗:猪在胃肠生理学方面与人类最为相似,低血压模拟了应激并发症最重要的手术病因之一,且该模型产生的应激性损伤与人类的应激性损伤有显著相似性。与这些优点相反,使用该模型存在一些问题:纠正酸碱平衡紊乱后会迅速出现危险的电解质失衡;长时间低血压(3小时)后会出现不可逆休克。因此,在所有仔猪中,有19%在休克前(1只动物)、休克期间(10只动物)或休克后立即(3只动物)死亡。然而,通过仔细观察上述问题,该实验模型在应激性损伤高发的同时,死亡率较低。

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