RESPIRATORY SYSTEM MECHANICS IN GUINEA-PIGS AFTER ACUTE HEMORRHAGE - ROLE OF ADRENERGIC-STIMULATION

被引:15
作者
MARTINS, MA
ZIN, WA
YOUNES, RN
NEGRI, EM
SAKAE, RS
LIN, CA
HOELZ, C
AULER, JOC
SALDIVA, PHN
机构
[1] UNIV SAO PAULO,FAC MED,DISCIPLINA CIRURGIA TRAUMA,SAO PAULO,SP,BRAZIL
[2] UNIV SAO PAULO,FAC MED,POLUICAO ATMOSFER EXPTL LAB,SAO PAULO,SP,BRAZIL
关键词
D O I
10.1097/00003246-199005000-00011
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We evaluated the effects of acute blood loss on the respiratory mechanics of guinea pigs. We measured respiratory system elastance (Ers) and resistance (Rrs(max)) using the end-inflation occlusion method. Rrs(max) was partitioned into its homogeneous component (Rrs(min)) and that due to the unevenness within the respiratory system (Rrs(u)). Respiratory mechanics were studied both before and immediately after bleeding in eight animals. Another eight guinea pigs had received propranolol previously and were also submitted to hemorrhage. Propranolol-treated animals showed higher control values of Rrs(max) p < .02) and Rrs(min) (p < .0001). Animals not treated with propranolol exhibited a decrease (p < 0.001) in the Rrs(max) after hemorrhagic hypovolemia (from 0.375 ± 0.051 to 0.323 ± 0.042 cm H2O/ml·sec), due to a decrease (p < 0.005) in Rrs(min) (from 0.140 ± 0.031 to 0.094 ± 0.032 cm H2O/ml·sec), whereas Ers and Rrs(u) did not change. Propranolol-treated animals showed an increase (p < .001) in Rrs(max) (from 0.512 ± 0.133 to 0.664 ± 0.144 cm H2O/ml·sec), Rrs(u) (p < 0.01) (from 0.252 ± 0.09 to 0.345 ± 0.139 cm H2O/ml·sec), and Ers (p < 0.001) (from 4.565 ± 0.933 to 5.402 ± 1.24 cm H2O/ml) after bleeding. The results indicate that the immediate effects of acute bleeding on respiratory mechanics are significantly influenced by catecholamines.
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页码:515 / 519
页数:5
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