Dietze W, Rentrop P, Schmidt H D, Schmier J
Prakt Anaesth. 1976 Apr;11(2):59-68.
Irreversible shock is produced in 28 anaesthetized mongrel dogs by withdrawal of erythrocytes and substitution by dextran, gelatine or plasma to an average Hb of 4.5g%. In contrast to other shock models cardiac output and perfusion pressure are not decreased by this preparation. In order to maintain arterial blood pressue above 90 mm Hg significantly more gelatine than dextran or serum has to be infused. There is no difference in hemodynamic responses after treatment with dextran or gelatine respectively. Both groups treated with colloidal solutions have the same survival rate of 38%. In the serum substituted dogs, however,survival rate is significantly greater (83%). Very likely this is due to a greater buffer capacity preventing severe acidosis, which is observed in the animals treated with colloidal solutions.
通过抽取红细胞并用右旋糖酐、明胶或血浆替代,使28只麻醉的杂种犬的平均血红蛋白降至4.5g%,从而引发不可逆性休克。与其他休克模型不同,这种制备方法不会降低心输出量和灌注压。为了将动脉血压维持在90mmHg以上,需要输注的明胶量显著多于右旋糖酐或血清。分别用右旋糖酐或明胶治疗后,血流动力学反应没有差异。两组接受胶体溶液治疗的犬的存活率均为38%。然而,用血清替代的犬的存活率显著更高(83%)。这很可能是由于血清具有更大的缓冲能力,可防止严重酸中毒,而在用胶体溶液治疗的动物中观察到了严重酸中毒。