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失血性休克的早期救治与细胞保护

Resuscitation with Hypertonic Saline Solutions and Cell Function in Hemorrhagic Shock

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【作者】 王立金王慧方玉荣

【Author】 WANG Li-jin,WANG Hui,FANG Yu-rong.Department of Pathophysiology,Medical College,Anhui University of Science and Technology,Huainan 232001,China

【机构】 安徽理工大学医学院淮南新华医院安徽理工大学医学院

【摘要】 目的研究高张盐溶液对失血性休克的治疗与细胞的保护作用。方法用动脉放血至平均动脉压(MAP)为5·33kPa维持30min制作失血性休克的动物模型,分别用不同浓度的NaCl溶液治疗休克,观察MAP、血浆电解质(Na+、Cl-、K+)、血浆N-乙酰-β-葡萄糖酐酸酶(NAG)活性、丙二醛(MDA)浓度和动物存活时间。结果7·5%NaCl组中MAP明显高于其他浓度的NaCl组,血浆K+却明显低于其他浓度的NaCl组,并且血浆NAG、MDA也明显低于其他组,家兔的存活时间最长。结论7·5%NaCl溶液治疗早期失血性休克,可以减轻细胞损伤程度,提高动物的存活时间,明显优于其他浓度的高渗盐液。

【Abstract】 Objective To research the effects of hypertonic saline on the treatment and cell function in hemorrhagic shock.Methods It was reproduced that an animal model of hemorrhaged(MAP=5.33kPa) for 30 minutes in rabbits.It was treated by saline solution,grouped as 5 groups in 0.9%、2.5%、5.0%、7.5%、10.0%NaCl.It was analyzed in MAP and Na~+、Cl~-、K~+、NAG、MDA in plasma and survival times in rabbits.Results The MAP of 7.5% NaCl groups was significantly greater than others,but the level of K~+、NAG、MDA was significantly lower than others,the survival times in 7.5% NaCl groups were the longest among the 5 groups.Conclusion These studies suggest that cell injury may be decreased in resuscitation with 7.5% NaCl in hemorrhagic shock.

【关键词】 休克出血性盐水高渗急救
【Key words】 Shock,hemorrhagicSaline solution,hypertonicFirst aid
  • 【文献出处】 实用心脑肺血管病杂志 ,Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease , 编辑部邮箱 ,2006年01期
  • 【分类号】R605.971
  • 【被引频次】4
  • 【下载频次】161
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