国际麻醉学与复苏杂志   2012, Issue (4): 3-3
    
三种液体复苏对家兔热伤休克心肌功能的影响
洪彬源, 王汉兵, 刘洪珍, 周桥灵, 周俊, 杨承祥, 赖晓红, 伍辉萍1()
1.广东省佛山市第一人民医院
Effect of different resuscitation fluids on cardiac function of the heat shock injury rabbits
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摘要:

摘要】目的 研究不同复苏液对热伤休克的家兔心肌功能。方法 40只家兔随机平均分为四组,Ⅰ组:对照组(未热伤组),Ⅱ组:0.9 %生理盐水组,Ⅲ组:乳酸钠林格注射液组,Ⅳ组:复方电解质注射液组,家兔热伤达体表面积25 %~30 %后4 h,液体输注速度为0.33 ml/kg /%热伤面积百分比/h,通过制备离体的工作心脏模型来进行测定并记录各组的心肌功能。结果 Ⅱ组的CO、dp/dt、-dp/dt明显低于Ⅰ组(P<0.05,P<0.01),Ⅲ组能提高了这些参数,但不能恢复到Ⅰ组相应的水平,Ⅳ组可使家兔的心肌功能接近Ⅰ组。Ⅱ组的每搏功和主动脉峰值收缩压明显低于Ⅰ组(P<0.05,P<0.01),Ⅲ组和Ⅳ组与Ⅰ组的差异均无统计学意义。结论 在严重热伤引起低血容量休克中,输注复方电解质注射液更有利于改善组织氧供,维持有效循环血量,改善心肌功能及顺应性,可代替乳酸钠林格注射液。

关键词: 【关键词】复方电解质注射液;乳酸钠林格注射液;心肌功能;家兔
Abstract:

[Abstract]Objective To study the effect of different resuscitation fluids on cardiac function of the heat shock injury rabbits. Methods 40 rabbits were randomly divided into four groups, groupⅠ: control group (without thermal injury), groupⅡ: 0.9% NaCl injection, group Ⅲ: lactated Ringer's injection, group Ⅳ: compound electrolyte injection. The infusion rate was 0.33 ml / kg /%(area percentage of heat injury)/h in 4 h when the thermal injury of rabbit body surface area was 25% to 30%. To measure and record the parameters of cardiac function in each group by working heart preparation in vitro model. Results The parameters of CO, dp/dt, -dp/dt in groupⅡ were significantly lower than in groupⅠ(P <0.05, P <0.01), these parameters can be improved in group Ⅲ, but can not be returned to the appropriate levels in groupⅠ. The parameters in group Ⅳ were close to the levels in groupⅠ(P>0.05). Stroke work and aortic peak systolic pressure in group Ⅱwere significantly lower than in group Ⅰ (P <0.05, P <0.01), group Ⅲ and Ⅳ had no significant difference with group Ⅰ.Conclusions To infuse compound electrolyte injection is more conducive to improve the tissue oxygen supply, maintain effective circulating blood volume, improve cardiac function and compliance in severe thermal injury in hypovolemic shock, it can replace lactated Ringer's injection.

Key words: [Keywords] compound electrolyte injection;lactated Ringer's injection;cardiac function;rabbit