摘要:
目的 本研究旨在探讨静脉输注高氧液(HOS)对急性一氧化碳(CO)中毒大鼠生化指标的影响。方法 将30只SD大鼠随机分为5组,每组6只。正常组(N组)、中毒组(C组)和中毒治疗组(H组),中毒治疗组再根据输注HOS剂量不同分为,在中毒后1h输注HOS 20ml/kg (H20组)、25ml/kg (H25组)和30ml/kg(H30组)。大鼠经腹腔注入CO 120ml/kg建立中毒模型,N组给予同等剂量的空气。各组大鼠分别在输注不同剂量的液体后即刻抽取动脉血0.5ml进行血气指标检测,染毒后1d抽取静脉血3 ml进行脑、心、肝、肾敏感生化指标的测定。结果 CO 120ml/kg 腹腔注射1.5h能引起严重的低氧血症PaO2 由96.62±2.4 mmHg降低到43.04±4.13mmHg。中毒后1d 能够引起神经元特异性烯纯化酶 (NSE)、S-100β蛋白、肌酸激酶(CK)、 肌酸激酶同工酶(CK-MB)、乳酸脱氢酶(LDH)、α-羟丁酸脱氢酶 (α-HBDH)、总胆红素(TBIL)、谷草转氨酶(AST)、谷丙转氨酶 (ALT)、谷氨酰转移酶(GGT)、尿素氮(BUN)和肌酐(Cr)的明显升高, CO中毒组与正常对照组比较有显著差异(P<0.01)。静脉输注不同剂量的HOS后,血浆溶解氧的含量显著升高,PaO2 由43.04±4.13 mmHg上升到81.65±3.85mmHg。各种生化指标也均有不同程度的降低,虽然明显高于正常对照组,但与CO中毒组比较各种指标的升高均有所降低(P<0.05或P<0.01),其中H30组降低最明显,具有显著的剂量依赖关系。结论 经静脉输注HOS能降低急性CO中毒大鼠血浆各种生化指标的含量,对急性CO中毒引起的重要脏器损害具有很好的保护作用,并具有剂量依赖关系。
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Abstract: Objective To investigate the effects of hyperoxygen solution (HO) injected in vein on biochemical indexes of rats with acute carbon monoxide poisoning. Methods 30 SD rats were randomly divided into 5 groups, 6 in each group. Normal group (N group), carbon monoxide poisoning group (C group) and different dose of HO treatment groups at 1h after CO poisoning, 20ml/kg (H20 group), 25ml / kg (H25 group) and 30ml/kg (H30 group). CO poisoning model were established by intraperitoneal injection CO with 120ml/kg. C group and the treatment group were such poisoning rats, while N group were given the same dose of air. At the end of treatments, all the rats were collected 0.5ml of arterial blood for blood gas measurement and 3 ml of venous blood for the determination of sensitive biochemical indexes in brain, heart, liver, and kidney. Results CO 120ml/kg with intraperitoneal injection can cause severe hypoxemia after 1.5 hours, PaO2 decreased from the 96.62 ± 2.4 mmHg to 43.04 ± 4.13mmHg. After CO poisoning for 1d, C group had significantly increase in Neuron-specific enolase (NSE), troponin (cTnT), creatine kinase (CK), creatine kinase MB (CK-MB), lactate dehydrogenase (LDH ), α-hydroxybutyrate dehydrogenase (α-HBDH), total bilirubin (TBIL), aspartate aminotransferase (AST), alanine aminotransferase (ALT), glutamyl transferase (GGT), blood urea nitrogen (BUN ) and creatinine (Cr) (P <0.01). When intravenous infused with different doses of HOS, Dissolved oxygen in plasma was significantly increased, PaO2 increased from the 43.04 ± 4.13 mmHg to 81.65 ± 3.85mmHg.all the enzymes were significantly lower than these in C group, although still were significantly higher than these in N group(P<0.05 or P<0.01). Moreover, all the enzymes were significantly lowest in group H30 with a significantly dose dependent relationship. Conclusion Intravenous infusion with hyperoxygen solution can reduce the biochemical indexes changes caused by acute CO poisoning in rat, and prevent the importance organs from damage.
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