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犬脾脏在氟烷麻醉期间心血管稳态中的作用。

The role of the canine spleen in cardiovascular homeostasis during halothane anesthesia.

作者信息

Merin R G, Hoffman W L, Kraus A L

出版信息

Circ Shock. 1977;4(3):241-6.

PMID:923020
Abstract

Barbiturate anesthesia is known to increase canine splenic sequestration of red blood cells. In our laboratory, high halothane concentrations have produced a decreased arterial hematocrit in the dog. In order to assess the role of the spleen in this phenomenon, central hematocrit, plasma volume, and ventricular hemodynamics were studied at low and high halothane concentrations before and after splenectomy in the same group of dogs. Although the hematocrit difference was less after splenectomy, it was not abolished. In addition, there was more cardiovascular depression by equivalent or lower halothane doses after splenectomy. It appears that the dog has other areas of red cell sequestration than the spleen accounting for the persistently lower hematocrit with high halothane concentrations after splenectomy. The modifying effect of the canine spleen on the circulatory depression produced by halothane should be taken into account when the drug is used in the dog.

摘要

已知巴比妥类麻醉会增加犬脾脏对红细胞的扣押。在我们实验室中,高浓度氟烷已导致犬动脉血细胞比容降低。为了评估脾脏在这一现象中的作用,在同一组犬进行脾切除术前和术后,研究了低浓度和高浓度氟烷时的中心血细胞比容、血浆容量和心室血流动力学。虽然脾切除术后血细胞比容差异较小,但并未消除。此外,脾切除术后,同等剂量或更低剂量的氟烷会导致更严重的心血管抑制。看来,犬除脾脏外还有其他红细胞扣押部位,这解释了脾切除术后高浓度氟烷时血细胞比容持续较低的现象。当在犬中使用该药物时,应考虑犬脾脏对氟烷所致循环抑制的调节作用。

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