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麻醉和机械通气犬卧位的心肺效应

Cardiopulmonary effects of lying position in anesthetized and mechanically ventilated dogs.

作者信息

Bornscheuer A, Mahr K H, Bötel C, Goldmann R, Gnielinski M, Kirchner E

机构信息

Zentrum Anästhesiologie, Medizinische Hochschule Hannover, Germany.

出版信息

J Exp Anim Sci. 1996 Aug;38(1):20-7.

PMID:8870412
Abstract

Cardiopulmonary effects of right-lateral and supine (on back) lying position were investigated in 8 anesthetized and mechanically ventilated dogs. Complete hemodynamic and respiratory monitoring were obtained. Heart rate was significantly higher, blood pressure, systemic vascular resistance and left and right ventricular stroke work were significantly lower in supine in comparison to right-lateral position. Arterial and mixed-venous oxygen tensions and mixed-venous oxygen saturation were significantly higher in right-lateral position. Compliance was significantly higher and peak ventilation pressure significantly lower in supine position. Arterio-to-mixed-venous-oxygen content difference, oxygen consumption and utilization were significantly higher and respiratory quotient was significantly lower in supine position in comparison to right-lateral position. All other obtained parameters were not be influenced by posture.

摘要

对8只麻醉并机械通气的犬研究了右侧卧位和仰卧位的心肺效应。进行了完整的血流动力学和呼吸监测。与右侧卧位相比,仰卧位时心率显著更高,血压、全身血管阻力以及左右心室每搏功显著更低。右侧卧位时动脉血氧分压和混合静脉血氧分压以及混合静脉血氧饱和度显著更高。仰卧位时顺应性显著更高,峰值通气压力显著更低。与右侧卧位相比,仰卧位时动静脉血氧含量差、氧耗量和氧利用率显著更高,呼吸商显著更低。所有其他获得的参数不受体位影响。

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