| 高渗醋酸盐／甘露醇液对失血性休克兔血气、酸碱平衡的影响 |
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| 引用本文： | 黄志军,罗学宏,宁阳根,汤爱国,肖桂林.高渗醋酸盐／甘露醇液对失血性休克兔血气、酸碱平衡的影响[J].中南大学学报(医学版),1996(2). |
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| 作者姓名： | 黄志军 罗学宏 宁阳根 汤爱国 肖桂林 |
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| 作者单位： | The Emergency Department，Xiangya Hospital，Hunan Medical University |
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| 摘 要： | 应用家兔失血性休克模型，观察高渗盐／右旋糖肝液（ＨＳＤ）、高渗盐／甘露醇液（ＨＳＭ）及高渗醋酸盐／甘露醇（ＮＡＭ）对其血气、酸碱平衡的影响。结果表明：ＨＳＤ和ＨＳＭ组在治疗后６０ｍｉｎ动脉血ｐＨ，ＢＥ－Ｂ，ＨＣＯ进一步下降，醚中毒加重，而ＨＡＭ组血ｐＨ，ＢＥ－Ｂ，ＨＣＯ升高，与失血前差异无显著性（Ｐ＞０．０５）。表明ＨＡＭ治疗能减轻失血性休克所致酸中毒，在稳定失血性休克兔内环境方面起重要作用。
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| 关 键 词： | 休克 出血性 醋酸盐类 甘露醇 高张液 右旋糖酐 |
BLOOD GAS AND ACID-BASE STATUS OF HEMORRHAGIC SHOCK RABBITS RESUSCITATED WITH HYPERTONIC ACETATE/MANNITOL |
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| Huang Zhijun, Luo Xuehong, Ning Yanggen,et al.BLOOD GAS AND ACID-BASE STATUS OF HEMORRHAGIC SHOCK RABBITS RESUSCITATED WITH HYPERTONIC ACETATE/MANNITOL[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1996(2). |
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| Authors: | Huang Zhijun Luo Xuehong Ning Yanggen |
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| Abstract: | ighteen adult heaIthy male rabbits were hemorrhaged to shock and treated with hypertonic-hyperoncotic solutions in 3 groups(6/group):hypertonic saline/dextran(HSD),hypertonicsaline/mannitol(HSM),and hypertonic acetate/mannitol(HAM).The results indicated:HSDand HSM can further decrease the pH,BE-B,HCO of the artery blood and increase acidosis ofhemorrhagicshock in 60 mins after infusion of them. HAM increases the blood pH,BE-B,HCO to the level of rabbits before hemorrhagic shock,which shows that HAM can treat theacidosis and blood gas change of hemorrhagic shock rabbits and plays an important role in stabi-lizing the inner erivironment of hemorrhagic rabbits. |
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| Keywords: | shock heniorrhagic acetates hypertonic solutions mannitol |
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