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出血性休克时肝脏组织氧分压、二氧化碳分压和酸碱度的变化
引用本文:马驰原,高进喜,包映晖,江基尧,朱诚.出血性休克时肝脏组织氧分压、二氧化碳分压和酸碱度的变化[J].中华创伤杂志,2001,17(3):169-171.
作者姓名:马驰原  高进喜  包映晖  江基尧  朱诚
作者单位:第二军医大学附属长征医院神经外科
摘    要:目的 探讨出血性休克及复苏过程中肝脏局部组织肝脏组织氧分压(PtiO

关 键 词:出血性休克  血气监测  胆组织  氧分压  二氧化碳分压  酸碱度
修稿时间:1999年12月9日

Changes of liver PtiO2, PtiCO2 and pHti following hemorrhagic shock in rabbits
MA Chiyuan,GAO Jinxi,BAO Yinghui,et al..Changes of liver PtiO2, PtiCO2 and pHti following hemorrhagic shock in rabbits[J].Chinese Journal of Traumatology,2001,17(3):169-171.
Authors:MA Chiyuan  GAO Jinxi  BAO Yinghui  
Institution:MA Chiyuan,GAO Jinxi,BAO Yinghui,et al. Dept. of Neurosurgery,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China
Abstract:Objective To study the changes of liver PtiO2,PtiCO2 and pHti following hemorrhagic shock.  Methods  The rabbits were anesthetized and bled to a MAP of 40 mm Hg, and then resuscitated after 60 minutes. Liver PtiO2, PtiCO2 and pHti were measured during hemorrhagic shock and the following resuscitation.  Results During hemorrhagic shock, PtiO2 decreased to zero gradually; PtiCO2 increased slowly at first then fast, and slowly again at last to (41.6±7.2) mm Hg (P<0.01); [HCO 3]ti increased to (28.7±4.3) mmol/L (P<0.01) in 30 minutes, then decreased to (26.3±3.7) mmol/L (P<0.01); pHti decreased to 7.32±0.07 (P<0.01). After resuscitation, significant increases of PtiO2 to (13.0±2.0) mmHg, [HCO-3]ti to (27.7±4.0) mmol/L (P<0.01), and pHti to 7.40±0.08 (P<0.01) as well as a reduction of PtiCO2 to (38.7±5.9) mmHg (P<0.01) were observed.  Conclusions  Changes of liver PtiO2,PtiCO2,[HCO-3]ti and pHti may be useful in evaluating the prognosis and treatment effect of hemorrhagic shock.
Keywords:Shock  hemorrhagic  Liver  Blood gas monitoring  percutaneous
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