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己酮可可碱对创伤失血性休克大鼠器官血流量及存活率的影响
引用本文:邓志龙,张晓星,李邦春. 己酮可可碱对创伤失血性休克大鼠器官血流量及存活率的影响[J]. 重庆医学, 2012, 41(15): 1522-1523,1526. DOI: 10.3969/j.issn.1671-8348.2012.15.029
作者姓名:邓志龙  张晓星  李邦春
作者单位:1.重庆市急救医疗中心骨科,400014;2.重庆市急救医疗中心骨科,400014;3.重庆市急救医疗中心骨科,400014
摘    要:目的 探讨己酮可可碱(PTX)对创伤失血性休克大鼠肝、脾、肾血流量和存活率的影响及其机制.方法 选择健康雄性Wistar大鼠30只,随机分为正常组、对照组和治疗组各10只.对照组和治疗组大鼠经右股动脉10 min内放血至平均动脉压(MAP)为(40±2.0)mm Hg,此后间断放血或回输血以维持此血压水平1.5 h,以4倍失血量的乳酸复方乳酸钠(LR)复苏休克大鼠,复苏量于1 h内经右颈外静脉由微量泵均匀泵入;治疗组大鼠于复苏45 min后经右颈外静脉插管按30 mg/kg加用PTX治疗,并以此时作为时相起点,治疗剂量PTX由生理盐水配成4 mL,其半量于5 min内均匀泵入,余量即2 mL于

关 键 词:己酮可可碱  休克,创伤性  休克,出血性  存活率  器官血流量

Effects of pentoxifylline on organ blood flow and survival rate in rat traumatic-hemorrhagic shock
Deng Zhilong , Zhang Xiaoxing , Li Bangchun. Effects of pentoxifylline on organ blood flow and survival rate in rat traumatic-hemorrhagic shock[J]. Chongqing Medical Journal, 2012, 41(15): 1522-1523,1526. DOI: 10.3969/j.issn.1671-8348.2012.15.029
Authors:Deng Zhilong    Zhang Xiaoxing    Li Bangchun
Affiliation:(Department of Orthopedics,Chongqing Emergency Medical Center,Chongqing 400014,China)
Abstract:Objective To evaluate the effects of pentoxifylline(PTX) on the organ blood flow and the survival rate in rat traumatic-hemorrhagic shock.Methods 30 male Wistar rats were randomly divided into 3 groups:normal group(SS),control group(LR) and therapy group(PTX),10 cases in each group.All rats in the three groups were wounded by laparotomy and fracture of left femur.The rats in control group and therapy group were bled from the right femoral artery to reduce the mean arterial pressure(MAP) to(40±2.0)mm Hg with in 10 min after trauma.MAP was kept at this level for 1.5 h and then the rats were resuscitated with lactated Ringer′ s solution(LR),four times of shed blood volume,through the right external jugular vein within 1 h.At 15 min before the end of resuscitation,the rats in therapy group were infused PTX(30 mg/kg body weight) through the vein within 95 min during and after resuscitation,simultaneously,the rats in control group were given the same volume of normal saline solution during the same period.The organ blood flow of liver,kidney and spleen were determined respectively at 4.5,6.5 h after PTX treatment.The rat survival rates at 8,16 h were calculated.Results The experiment results indicated that the organ blood flow(liver,spleen and kidney) was significantly higher in PTX group than in LR group(P<0.05).Conclusion PTX restores the blood flow of liver,kidney and spleen and increases the survival rate of animals after PTX administration.
Keywords:pentoxifylline  shock,traumatic  shock,hemorrhagic  survival rate  organ blood flow
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