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犬吸入性肺损伤血流动力学改变

Hemodynamic changes in dogs with inhaled lung injury

来源期刊: 广州医药 | 9-12 发布时间:2021-12-01 收稿时间:2025/11/13 17:14:52 阅读量:19
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关键词:
吸入性肺损伤心输出量每搏量变异度
Inhaled lung injuryCardiac outputStroke volume variability
DOI:
10.3969/j.issn.1000-8535.2017.01.003
收稿时间:
2016-11-05 
修订日期:
 
接收日期:
 
引用总数:
0  
目的 本研究拟成功复制犬热蒸汽吸入性肺损伤模型,并探讨急性吸入性肺损伤早期重要生命体征的变化情况,以及与心肺功能密切相关的连续心输出量(CCO)、心排指数(CI)、每搏量变异度(SVV)等核心血流动力学指标的变化规律。方法 建立犬热蒸汽吸入性肺损伤模型,动物随机分为4组,对照组(未予以致伤)。肺水肿组:根据肺损伤肺水肿后观察时间的不同分为B1组:1 h;B2组:2 h及B3组:4 h。试验中监测ABP、SVV、CO等血流动力学指标。结果 犬蒸汽吸入性肺损伤致伤后,早期即发生循环动力学的变化,以致伤后30min至1 h最为明显,ABP、HR、CO持续下降,SVV较前升高。结论 犬蒸汽吸入性肺损伤致伤后,早期即发生循环动力学的变化,造成动物氧合及代谢障碍,并可以迅速导致肺水肿,以致伤后30min至1 h最为明显。
Objective To establish a model of acute inhalation injury in dogs, and to investigate the changes of vital signs in the early stage of acute inhalation injury and the correlation between cardiac output (CCO), cardiac output index CI), stroke volume variability (SVV) and other core hemodynamic variables. Methods The animal models of inhaled lung injury were established. The animals were randomly divided into four groups: control group (no injury); Lung edema group: according to the observation time of lung injury after lung injury, they were divided into B1 group: 1 h; B2 group: 2 h and B3 group: 4 h. The hemodynamic indexes such as ABP, SVV and CO were monitored. Results The changes of circulatory kinetics occurred in the early stage of the injury after aspiration of canine vapor inhalation, which was most obvious in 30 minutes to 1 hour after injury. The levels of ABP, HR, CO were decreased and SVV was increased. Conclusion Inhalation of lung injury in dogs after inhalation, early changes in the occurrence of circulatory dynamics occured, resulting in animal oxygenation and metabolic disorders, and these can quickly lead to pulmonary edema, so that 30 minutes to 1 hour after injury, hemodynamic chcnge were the most obvious.
1、 黄跃生,黎鳌.烧伤病人心肌损害及其机理的临床探讨[J]. 中华整形烧伤外科杂志, 1993,9(2):99-101. 黄跃生,黎鳌.烧伤病人心肌损害及其机理的临床探讨[J]. 中华整形烧伤外科杂志, 1993,9(2):99-101.
2、 陈意生,李元平,李建碧,等.重度呼吸道蒸汽烧伤的心脏早期病理变化[J]. 第三军医大学学报, 1982,4(4):82-86. 陈意生,李元平,李建碧,等.重度呼吸道蒸汽烧伤的心脏早期病理变化[J]. 第三军医大学学报, 1982,4(4):82-86.
3、 宁方刚,畅阳,邱宇轩,等,443例吸入性损伤患者的临床特点分析[J]. 中华烧伤杂志,2014,10(5):400-404. 宁方刚,畅阳,邱宇轩,等,443例吸入性损伤患者的临床特点分析[J]. 中华烧伤杂志,2014,10(5):400-404.
4、 CHO J S, KIM Y D, SHI N N, et al. Effect of transpleural perfusion with oxyenated perfluorocarbon in a rat model of acute lung injury[J]. Exp Lung Res,2013,39(1):32-38. CHO J S, KIM Y D, SHI N N, et al. Effect of transpleural perfusion with oxyenated perfluorocarbon in a rat model of acute lung injury[J]. Exp Lung Res,2013,39(1):32-38.
5、 连祥基,喻文强,余革,等.低剂量全氟化碳不同时点干预急性肺损伤实验兔对肺组织病理学的影响[J]. 广东医学,2015,9(3):2669-2672. 连祥基,喻文强,余革,等.低剂量全氟化碳不同时点干预急性肺损伤实验兔对肺组织病理学的影响[J]. 广东医学,2015,9(3):2669-2672.
6、 廖新成,郭光华,朱峰,等. 高频振荡通气与呼气末正压递增法联用对吸人性损伤犬呼吸循环功能的影响[J]. 中华烧伤杂志,2013, 6(3):255-260. 廖新成,郭光华,朱峰,等. 高频振荡通气与呼气末正压递增法联用对吸人性损伤犬呼吸循环功能的影响[J]. 中华烧伤杂志,2013, 6(3):255-260.
7、 杜伯祥,史宏伟,宋杰,等. 非体外循环冠状动脉旁路移植术患者FloTrac-Vigilen系统与肺动脉导管技术监测心指数的一致性[J].中华麻醉学杂志,2011,31(8):958-960. 杜伯祥,史宏伟,宋杰,等. 非体外循环冠状动脉旁路移植术患者FloTrac-Vigilen系统与肺动脉导管技术监测心指数的一致性[J].中华麻醉学杂志,2011,31(8):958-960.
8、 MAYER J, BOLDT J, WOLF M W, et al. Cardiac output derived from arterial pressure waveform analysis in patients undergoing cardiac surgery:validity of a second generation device[J]. Anesth Analg,2008,106(3):867-872. MAYER J, BOLDT J, WOLF M W, et al. Cardiac output derived from arterial pressure waveform analysis in patients undergoing cardiac surgery:validity of a second generation device[J]. Anesth Analg,2008,106(3):867-872.
9、 VETRNGNO L,COSTA M G. SPAGNESI L,et al. Uncalibrated arterial pulse cardiac output measurements in patients with moderately abnormal left ventrieular funetion[J]. J Cardiothorac Vasc Anesth,2011,25(1):53-58. VETRNGNO L,COSTA M G. SPAGNESI L,et al. Uncalibrated arterial pulse cardiac output measurements in patients with moderately abnormal left ventrieular funetion[J]. J Cardiothorac Vasc Anesth,2011,25(1):53-58.
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