Morton D, Safron J A, Glosson J, Rice D W, Wilson D M, White R D
Baxter Healthcare Corporation, Round Lake, Illinois 60073-0490, USA.
Toxicol Pathol. 1997 Jul-Aug;25(4):390-4. doi: 10.1177/019262339702500407.
The objective of this study was to characterize the changes associated with intravenous infusions of large volumes of isotonic saline solution in rats so that effects of the infusion process could be more easily distinguished from effects of test articles. Male Sprague-Dawley rats weighing approximately 225-275 g at the beginning of the study were given intravenous infusions of isotonic saline solution once daily for 30 consecutive days at dosages of 40 or 80 ml/kg body weight. Saline solution was administered through catheters placed in the caudal veins of the tail according to one of the following regimens: 80 ml/kg at 0.25 ml/min; 80 ml/kg at 0.5 ml/min; 80 ml/kg at 1.0 ml/min; and 40 ml/kg at 1.0 ml/min. Control rats were catheterized but not administered intravenous fluids. One day following the last treatment, all rats were necropsied and major organs were collected in 10% formalin. Histologic lesions associated with treatment included increased incidence and severity of pulmonary periarterial infiltrates of eosinophils, multifocal pulmonary inflammation, pulmonary granulomas that often contained hairshaft fragments, endothelial hypertrophy and hyperplasia within pulmonary arterial vessels, and pulmonary arterial medial thickening. Infiltrates of eosinophils around small pulmonary arteries were more severe in rats given intravenous infusions than in untreated rats and were more severe in rats given isotonic saline at the 80-ml/kg dosage than at the 40-ml/kg dosage. The severity of periarterial infiltrates of eosinophils increased with increasing infusion rates in rats that received 80 ml/kg isotonic saline. Pulmonary granulomas and multifocal pulmonary inflammation were observed in more rats that received intravenous saline than in control rats, but their incidences did not appear to vary with the volume or rate of infusion. Multifocal endothelial hypertrophy and hyperplasia occurred in most rats given isotonic saline solution at all volumes and rates, but not in untreated control rats. Inflammatory lesions in the tail near the injection site were considered sequellae of catheter insertion that, in some instances, may have been exacerbated by intravenous saline infusion. There were no lesions in other organs that were attributable to intravenous infusions of isotonic saline solution.
本研究的目的是描述大鼠静脉输注大量等渗盐溶液所伴随的变化,以便更易于将输注过程的影响与受试物的影响区分开来。在研究开始时体重约225 - 275 g的雄性Sprague-Dawley大鼠,连续30天每天静脉输注等渗盐溶液,剂量为40或80 ml/kg体重。根据以下方案之一,通过置于尾静脉的导管给予盐溶液:0.25 ml/min输注80 ml/kg;0.5 ml/min输注80 ml/kg;1.0 ml/min输注80 ml/kg;1.0 ml/min输注40 ml/kg。对照大鼠插入导管但未给予静脉输液。在最后一次治疗后一天,对所有大鼠进行尸检,并将主要器官收集于10%福尔马林中。与治疗相关的组织学损伤包括肺动脉周围嗜酸性粒细胞浸润的发生率和严重程度增加、多灶性肺部炎症、常含有毛干碎片的肺肉芽肿、肺动脉血管内的内皮肥大和增生以及肺动脉中层增厚。静脉输注的大鼠中小肺动脉周围嗜酸性粒细胞浸润比未治疗的大鼠更严重,且在给予80 ml/kg剂量等渗盐溶液的大鼠中比给予40 ml/kg剂量的大鼠更严重。在接受80 ml/kg等渗盐溶液的大鼠中,嗜酸性粒细胞动脉周围浸润的严重程度随输注速率增加而增加。接受静脉输注盐水的大鼠比对照大鼠观察到更多的肺肉芽肿和多灶性肺部炎症,但它们的发生率似乎不因输注量或速率而变化。在所有容量和速率下给予等渗盐溶液的大多数大鼠中发生多灶性内皮肥大和增生,但未治疗的对照大鼠中未发生。注射部位附近尾部的炎症损伤被认为是导管插入的后遗症,在某些情况下,静脉输注盐水可能会使其加重。没有其他器官的损伤可归因于等渗盐溶液的静脉输注。