Larmark M, Lisander B
Department of Anaesthesiology and Intensive Care, University Hospital, Linkoping, Sweden.
Acta Anaesthesiol Scand. 1996 Jan;40(1):112-8. doi: 10.1111/j.1399-6576.1996.tb04396.x.
Intra-abdominal surgery causes plasma extravasation which, in the rat, is prevented by combined histaminergic H1 and H2 blockade. We evaluated the relative importance of H1 and H2 blockade in this situation. Cloralose-anaesthetized Wistar rats were subjected to a standardized abdominal trauma. Mean arterial pressure (MAP), heart rate (HR) and haematocrit (Hct) were monitored and plasma volume (PV) was determined before and 1 h after the trauma. Compared to non-traumatized rats (n = 8), the trauma decreased PV and increased Hct (n = 8). MAP decreased during the actual trauma, whereas HR remained stable throughout. In animals given cimetidine 25 mg kg-1 i.v. just prior to the trauma (n = 8), PV, Hct and MAP changed, as in the non-blocked rats. In contrast, pyrilamine, 10 mg kg-1, completely prevented the decrease in PV and the increase in Hct (n = 7), but not the decrease in MAP. The findings suggest that a histaminergic H1 mechanism is of importance for the plasma loss elicited by intra-abdominal trauma.
腹腔内手术会导致血浆外渗,在大鼠中,组胺能H1和H2受体联合阻断可预防这种情况。我们评估了在这种情况下H1和H2受体阻断的相对重要性。用氯醛糖麻醉的Wistar大鼠接受标准化腹部创伤。监测平均动脉压(MAP)、心率(HR)和血细胞比容(Hct),并在创伤前和创伤后1小时测定血浆量(PV)。与未受创伤的大鼠(n = 8)相比,创伤使PV降低,Hct升高(n = 8)。在实际创伤期间MAP降低,而HR在整个过程中保持稳定。在创伤前静脉注射西咪替丁25 mg kg-1的动物(n = 8)中,PV、Hct和MAP的变化与未阻断的大鼠相同。相比之下,10 mg kg-1的吡苄明完全预防了PV的降低和Hct的升高(n = 7),但没有预防MAP的降低。这些发现表明,组胺能H1机制对腹腔内创伤引起的血浆丢失很重要。