Bynum G, Patton J, Bowers W, Leav I, Wolfe D, Hamlet M, Marsili M
J Appl Physiol Respir Environ Exerc Physiol. 1977 Aug;43(2):292-6. doi: 10.1152/jappl.1977.43.2.292.
This study was undertaken to develop an anesthetized dog heatstroke model. Forty-six animals were anesthetized with pentobarbital sodium (25 mg/kg) intravenously, and maintained at an ambient temperature of (42-46 degrees C) with a water-heated blanket over 2.5-3.0 h until rectal temperatures rose to 43.0-44.5 degrees C. Animals then cooled passively until death occurred or until 18 h elapsed, and were prepared for autopsy. Liver, kidney, and brain temperature, mean weighted skin temperature, mean weighted surface heat loss, and metabolic rates were obtained. There were no significant differences between liver, kidney, brain, and rectal temperatures during the heating and cooling periods. Cardiac output rose to 127% of initial value, and dropped rapidly to zero at 43.4 degrees C rectal temperature. The rapid decline was accompanied by a doubling of heart rate and a rapid drop in blood pressure and respiratory rate. Cheyne-Stokes respiration and apnea preceded bradycardia followed by asystole or ventricular fibrillation. Certain serum constituents demonstrated modest elevations suggestive of widespread tissue damage. Autopsy did not reveal a clear pattern of heat injury, with the exception of consistent congestion of the major organs and karyorrhexis of lymphocytes. These data are in agreement with similar data from human heatstroke victims and other heatstroke modeling in dogs, and support the concept that the anesthetized dog can in many respects provide an adequate model for human heatstroke.
本研究旨在建立麻醉犬中暑模型。46只动物静脉注射戊巴比妥钠(25mg/kg)进行麻醉,用水热毯在(42 - 46摄氏度)的环境温度下维持2.5 - 3.0小时,直至直肠温度升至43.0 - 44.5摄氏度。然后动物被动降温,直至死亡或18小时过去,随后准备进行尸检。记录肝脏、肾脏、大脑温度、平均加权皮肤温度、平均加权体表散热及代谢率。在加热和冷却期间,肝脏、肾脏、大脑和直肠温度之间无显著差异。心输出量升至初始值的127%,在直肠温度为43.4摄氏度时迅速降至零。这种快速下降伴随着心率加倍以及血压和呼吸频率的迅速下降。在心动过缓之前出现潮式呼吸和呼吸暂停,随后是心脏停搏或心室颤动。某些血清成分有适度升高,提示存在广泛的组织损伤。尸检未发现明确的热损伤模式,主要器官一致充血和淋巴细胞核固缩除外。这些数据与人类中暑受害者的类似数据以及犬类其他中暑模型的数据一致,并支持以下观点:麻醉犬在许多方面可为人类中暑提供合适的模型。