首页|腹部开放伤合并海水浸泡致犬急性心力衰竭临床特征

腹部开放伤合并海水浸泡致犬急性心力衰竭临床特征

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目的:观察犬腹部开放性损伤经海水浸泡后致急性心力衰竭的临床特征.方法:以成年杂种犬为实验动物犬随机分为腹部伤+海水浸泡组(A组,n=8)和单纯腹部伤组(B组,n=8).观察实验动物致腹部开放性损伤前、后及经海水浸泡2 h后打捞出水不同时间点心律、心率(HR)、收缩压、舒张压、平均动脉压(MAP)、肺动脉嵌压(PAWP)、中心静脉压(CVP)、心输出量(CO)、心脏指数(CI)、B型脑利钠肽(BNP)、心肌酶谱、氧分压等相关指标.并于致伤前及致伤后4 h行超声心图,测定LVEDV,LVESV,SV,LVEF.结果:A组在浸泡后HR、收缩压、舒张压、MAP,CVP均下降.至2 h时,PAWP>18 mmHg(1 mmHg=0.133 kPa),CO减低伤前30%,CI,LVEDV,LVESV,SV,LVEF均较B组减低(P<0.05),肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、BNP均较B组显著升高(P<0.05).结论:犬腹部开放伤合并海水浸泡后出现急性心力衰竭的特征.
Clinical characteristics of dogs after open abdominal injury and seawater immersion induced acute heart failure
AIM:To observe the clinical characteristics of dogs after open abdominal injury and seawater immersion induced acute heart failure.METHODS:Adult mongrel dogs as experimental animals were randomly divided into open abdominal injury+ seawater immersion group(A group n=8)and simple open abdominal injury group(B group n=8).To observe experimental animals caused by open abdominal injury before and after,and the seawater immersion after 2 h the water at different time points salvage cardiac rhythm,heart rate(HR),systolic pressure,diastolic pressure,mean arterial pressure(MAP),pulmonary wedge pressure(PAWP),central venous pressure(CVP),cardiac output(CO),cardiac index(CI),B-type brain natriuretic peptide(BNP),cardiac enzymes,partial pressure of oxygen and other relevant dimensions.On the injury before and after injury 4 h had ultrasonic cardiogram to measure LVEDV,LVESV,SV,LVEF.RESULTS:A group in the post-immersion heart rate,systolic pressure,diastolic pressure,mean arterial pressure,central venous pressure decreased.To 2 h,the pulmonary artery wedge pressure>18 mmHg,cardiac output to reduce the 30% pre-injury,cardiac index,LVEDV,LVESV,SV,LVEF than those in group B reduced(P<0.05),creatine kinase(CK),ereatine kinase isoenzyme(CK-MB),BNP than those in B group was significantly higher(P<0.05).CONCLUSION:The dogs after open abdominal injury with seawater immersion expressed the characteristics of acute heart failure.

open abdominal injury,dogseawater,immersionacute heart failureclinical characteristics

曹毅、高连如、陈宇、张宁坤、胡媛琴、费宇行、杨晔

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海军总医院心内科,北京,100037

腹部开放伤,犬 海水,浸泡 急性心力衰竭 临床特征

海后司令部科研计划

04-3304

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(21)
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