THE USE OF ULTRASOUND IN THE NONINVASIVE DETECTION OF CHANGES IN THE RENAL CIRCULATION IN RESPONSE TO BLOOD-LOSS USING AN ANIMAL-MODEL

被引:11
作者
CLANCY, MJ
ALDERMAN, J
CASE, C
TAYLOR, KJW
机构
[1] Accident and Emergency Department, Bristol Royal Infirmary, Bristol
[2] Ultrasound Section, Department of Radiology, Yale University School of Medicine, New Haven, CT
关键词
SWINE; HEMORRHAGIC SHOCK; RENAL; RESISTANCE INDEX; ULTRASOUND;
D O I
10.1016/0300-9572(95)00882-T
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Using a continuous haemorrhage model, 8 anaesthetised swine were bled 1 ml/kg per min for 30 min. The resistance index (RI) of the main renal artery, interlobar and arcuate vessels ail Significantly increased. Cortical Doppler signals were lost in 4 animals at a mean arterial pressure of 26 mmHg. After reinfusion of blood and normal saline only the RI of the interlobar vessels was significantly different from baseline readings. Ultrasound demonstrated non-invasively changes in regional blood flow within the kidney in response to hypovolaemic shock.
引用
收藏
页码:161 / 167
页数:7
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