[山莨菪碱对严重烧伤家兔液体复苏后心肌功能的影响]。

J Xie, X Yao, D Zhao
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引用次数: 0

摘要

目的:探讨山莨菪碱液体复苏对严重烧伤家兔心肌功能的影响。方法:对家兔进行覆盖25%体表面积(TBSA)的III度烧伤。分别在烧伤前、烧伤后立即及烧伤后1、3、5、7 h分别单独液体复苏、单独给药Ani、液体复苏加Ani时测量LVSP、LV +/- dp/dtmax。结果:烧伤后1 h心肌收缩力和舒张力明显下降。仅在烧伤后3 h内,单纯液体复苏和单用阿尼可显著改善心肌收缩力和舒张。液体复苏加Ani (5 mg.kg-1)后,心肌收缩力和舒张度较未治疗对照组明显改善(P < 0.01),接近正常水平。结论:我们的数据表明,在液体复苏的基础上给予Ani (5 mg.kg-1)有利于烧伤损伤,特别是心肌功能,为未来烧伤的治疗提供了一种很有前景的方法。
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[Myocardial function after fluid resuscitation with addition of anisodamine in severely burned rabbits].

Objective: To evaluate the effect of fluid resuscitation with addition of anisodamine (Ani) on myocardial function in severely burned rabbits.

Methods: III degree burn injury covering 25% total body surface area (TBSA) was produced on rabbits. LVSP, LV +/- dp/dtmax were measured with fluid resuscitation alone, administration of Ani alone, and fluid resuscitation plus Ani before burn, immediately after burn and 1, 3, 5, 7 h after burn.

Results: It was showed that myocardial contractility and relaxation were depressed 1 h after burn. Fluid resuscitation alone and administration of Ani alone could significantly improve myocardial contractility and relaxation only within 3 h postburn. With fluid resuscitation plus Ani (5 mg.kg-1), myocardial contractility and relaxation were improved statistically significantly as compared with control group without treatment (P < 0.01), with the values approaching the normal level.

Conclusion: Our data demonstrate that the administration of Ani (5 mg.kg-1) in addition to fluid resuscitation is beneficial to burn injury, especially to myocardial function, and it provides a promising approach for the future treatment of burns.

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