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一种测量局部心肌血流量的技术及其在确定过度通气和氟烷作用方面的应用。

A technique for measuring regional myocardial blood flow and its application in determining the effects of hyperventilation and halothane.

作者信息

Marshall M, Williams W G, Creighton R E, Volgyesi G A, Steward D J

出版信息

Can Anaesth Soc J. 1976 May;23(3):244-51. doi: 10.1007/BF03005700.

Abstract

A method for measuring regional myocardial blood flow with a polarographic hydrogen-clearance technique, and its experimental application in dogs, are described. Under pentobarbitone anaesthesia, flow to the superficial (3 mm) and deep (8 mm) layers of the left ventricle was not significantly different. Neither hypocapnia (PaCO2 = 24 mm Hg) nor halothane significantly altered differential distribution of blood flow to the superficial and deep layers of the myocardium. Hypocapnia was followed by a fall in myocardial blood flow (MBF) associated with increased myocardial vascular resistance (MVR). Administration of halothane 0.5 per cent at normal levels of PaCO2 led to a fall in MBF of approximately 20 per cent with no significant changes in MVR.

摘要

本文描述了一种用极谱氢清除技术测量局部心肌血流量的方法及其在犬类中的实验应用。在戊巴比妥麻醉下,左心室表层(3毫米)和深层(8毫米)的血流量无显著差异。低碳酸血症(动脉血二氧化碳分压=24毫米汞柱)和氟烷均未显著改变心肌表层和深层血流量的差异分布。低碳酸血症后,心肌血流量(MBF)下降,同时心肌血管阻力(MVR)增加。在正常动脉血二氧化碳分压水平下给予0.5%的氟烷,导致心肌血流量下降约20%,而心肌血管阻力无显著变化。

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