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高渗盐液、右旋糖酐、山莨菪硷联合抢救兔失血性休克
引用本文:方玉荣,孔桂英,罗正曜,詹群珊,刘士坤.高渗盐液、右旋糖酐、山莨菪硷联合抢救兔失血性休克[J].中南大学学报(医学版),1990(3).
作者姓名:方玉荣  孔桂英  罗正曜  詹群珊  刘士坤
作者单位:湖南医科大学病理生理学教研室进修班,湖南医科大学病理生理学教研室,湖南医科大学病理生理学教研室,湖南医科大学病理生理学教研室,湖南医科大学病理生理学教研室 教师
摘    要:合并使用高渗盐液、右旋糖酐与山莨菪硷治疗家兔实验性严重失血性休克。结果显示:高渗盐液加右旋糖酐治疗组,平均动脉压、左室内压、左室内压变化速率、中心静脉压等血流动力学指标的恢复,显著优于等渗盐液治疗组;高渗盐液、右旋糖酐与山莨菪硷(5mg/kg)联用组,动脉血压回升后维持时间、中心静脉压升高的程度优于高渗盐液加右旋糖酐组。进一步证实联用高渗液与山莨菪硷可短时提高疗效,为抢救休克赢得时间。

关 键 词:休克  出血性  高张液  右旋糖酐  山莨菪硷  药物疗法  治疗应用  

HYPERTONIC SALINE, DEXTRAN SOLUTION AND ANISODAMINE IN RESUSITATION OF SEVERE HEMORRHAGIC SHOCK
Fang Yurong Kong Guiying Luo Zhengyao Zhan Qunshan Liu Shikun.HYPERTONIC SALINE, DEXTRAN SOLUTION AND ANISODAMINE IN RESUSITATION OF SEVERE HEMORRHAGIC SHOCK[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1990(3).
Authors:Fang Yurong Kong Guiying Luo Zhengyao Zhan Qunshan Liu Shikun
Institution:Fang Yurong Kong Guiying Luo Zhengyao Zhan Qunshan Liu ShikunDepartment of Patho physiology,Hunan Medical University
Abstract:Hemorrhagic shock was induced in rabbits by controlled arterial bleeding, to reduce and maintain mean arterial blood pressure at 5. 3 kPa for 30 min. The rabbits were then given 4ml/kg i. v. 1) isotonic NaCl (IS), 2) 7.5 NaC1/6% dextran 40 ( HS/DX), 3) 7.5% NaC1/6% dextran 40 + aniso-damine 5mg/kg ( HS/DX + 654-2). The results showed that MAP, LVP, dp/dt max and CVP were better improved in HS/DX and HS/DX+654-2 groups than in IS group, the MAP, CVP more effective in HS/DX + 654-2 group than in HS/DX group. The MDA/SOD ratio increased in IS and HS/DX group, but there was no significant change in HS/DX+654-2 group. Consequently, the oxygen-free radicals were produced in hemorrhagic shock. Anisodamine may have the effect against oxygen-free radicals directly or indirectly.
Keywords:shock  hemorragic  hypertonic solution  dextran  anisodamine  drug therapy  therapeutic use  rabbits
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