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纸质出版:2009
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胡媛琴,王红勇,高连如,陈宇,张宁坤,曹毅,杨晔.腹部开放伤合并海水浸泡致犬急性心力衰竭的实验研究[J].陆军军医大学学报(原第三军医大学学报),2009,31(21):2146-2149.
HU Yuan-qin,WANG Hong-yong,GAO Lian-ru,CHEN Yu,ZHANG Ning-kun,CAO Yi,YANG Ye.Acute heart failure following seawater immersion in dogs with open abdominal wound[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(21):2146-2149.
胡媛琴,王红勇,高连如,陈宇,张宁坤,曹毅,杨晔.腹部开放伤合并海水浸泡致犬急性心力衰竭的实验研究[J].陆军军医大学学报(原第三军医大学学报),2009,31(21):2146-2149. DOI:
HU Yuan-qin,WANG Hong-yong,GAO Lian-ru,CHEN Yu,ZHANG Ning-kun,CAO Yi,YANG Ye.Acute heart failure following seawater immersion in dogs with open abdominal wound[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(21):2146-2149. DOI:
目的 建立腹部开放伤合并海水浸泡犬急性心力衰竭模型,探讨海水浸泡对腹部开放伤犬急性心力衰竭的影响。 方法 成年杂种犬16只制备开放性腹部损伤动物模型,按随机数字表法分为海水浸泡组和对照组,每组8只。分别于致伤前、后,浸泡0.5、1、2 h及打捞后1、2 h监测2组犬的平均动脉压(mean artery pressure
MAP)、肺动脉嵌压(pulmonary artery wedge pressure
PAWP)、中心静脉压(central vein pressure
CVP)、心输出量(cardiac output
CO),检测血浆K
+
、Na
+
、Cl
-
、血气、脑钠肽(brain natriuretic peptide
BNP)、TNF-α含量,测定致伤前、打捞后2 h心脏超声左心室收缩末容积(left ventricular end-systolic volume
LVESV)、左心室舒张末容积(left ventricular end-diastolic volume
LVEDV)、每博输出量(stroke volume
SV)、左心室射血分数(left ventricular ejection fraction
LVEF)值。 结果 浸泡组犬在浸泡后MAP、CVP、CO均下降,至2 h时,PAWP18 mmHg;LVESV、SV、LVEF均较对照组显著减低(P0.05),血浆K
+
、Na
+
、Cl
-
、BNP、TNF-α含量均较对照组显著升高(P0.05);浸泡组犬在实验期间酸中毒程度逐渐加重,PH、HCO
3
-
进行性降低,与致伤前及对照组同时间点相比差异均有统计学意义(P0.05)。 结论 海水浸泡是导致腹部开放伤犬急性心力衰竭的重要因素。
Objective To evaluate the effect of seawater immersion on acute heart failure in dogs with open abdominal wound and establish a relevant experimental model. Methods Sixteen health dogs were divided randomly into 2 groups
control group (n=8
) only having abdominal wound
and seawater immersion group (n=8) while abdominal wound was followed by seawater immersion. Mean artery pressure (MAP)
pulmonary artery wedge pressure (PAWP)
central vein pressure (CVP) and cardiac output (CO) were measured and blood samples were taken at different time intervals to determine K
+
Na
+
Cl
-
blood gas
BNP and TNF-α levels. Doppler echocardiography was performed to measure the left ventricular end-systolic volume (LVESV)
left ventricular end-diastolic volume (LVEDV)
stroke volume (SV)
and left ventricular ejection fraction (LVEF) respectively. Results In seawater immersion group
MAP
CVP and CO were decreased after immersion. Compared with control group
LVESV
SV and LVEF were decreased and plasma levels of K
+
Na
+
Cl
-
brain natriuretic peptide (BNP)
TNF-α were increased significantly in seawater immersion group (P0.05). In seawater immersion group
acidosis was aggravated gradually. pH value and HCO
3
-
were decreased significantly compared with control group (P0.05). Conclusion Seawater immersion is a significant factor of acute heart failure in dogs with open abdominal wound.
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