LI Tao,LIU Liang-ming,DIAO You-fang,LIAO Zi-fu,FAN Xiao-qing,CHEN Feng.On proper volume of different fluids for hemorrhagic shock resuscitation in rats[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(03):199-202.
LI Tao,LIU Liang-ming,DIAO You-fang,LIAO Zi-fu,FAN Xiao-qing,CHEN Feng.On proper volume of different fluids for hemorrhagic shock resuscitation in rats[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(03):199-202.DOI:
On proper volume of different fluids for hemorrhagic shock resuscitation in rats
Objective To study the proper volume of different fluids to resuscitate hemorrhagic shock in rats. Methods SD rats were hemorrhaged to 35% or 45% total blood volume. Then lactated ringer’s (LR) of 1×
2×
3× shed blood volume
20 or 30 ml/kg hydroxyethyl starch (HES)
7.5%NaCl/
6%Dextran40 (HSD) at dose of 4
6
8 ml/kg
LR+HES of 1×
2×
3× shed blood volume were transfused to resuscitate the rats
respectively. Mean arterial blood pressure (MAP)
left intraventricular systolic pressure (LVSP)
the maximal change rate of left intraventricular pressure (±dp/dt
max
) were observed before and after hemorrhagic shock
1 and 2 hours after transfusion. Blood gas was detected 1 h after transfusion and at the end of transfusion and 12-hour survival rate of the animals was also observed. Results For the rats with 35% total blood loss
the effects of LR and HSD on hemodynamic parameters were not significantly different. HES at dose of 30 ml/kg and HES+LR of 2× shed blood volume improved hemodynamic parameters and the survival rate as compared with HES at 20 ml/kg and other LR+HES groups. For the rats with 45% total blood loss
LR of 3× shed blood volume and HSD at 6 ml/kg improved hemodynamics better than LR of 1×
2× shed blood volume and HSD at 4 and 8 ml/kg. Similarly
HES at 30 ml/kg and LR+HES of 2× shed blood volume improved the hemodynamic parameters and survival rate better than HES at 20 ml/kg and HES+LR of 1×
2×shed blood volume. For blood gas
all fluids had no obvious effect
except that HSD significantly decreased the blood pH value. Conclusion Besides LR of 3× shed blood volume is effective in resuscitating the rats of 45% total blood loss
the transfusion of HES at 30 ml/kg
HSD at 6 ml/kg or LR+HES of 2× shed blood volume achieves better resuscitation effect in the rats of 35% or 45% total blood loss.